Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › TACOMA › PUGET SOUND PHARMACY LLC

PUGET SOUND PHARMACY LLC

NPI: 1619205267 · TACOMA, WA 98405 · Clinic Pharmacy · NPI assigned 11/19/2009

$302.40
Total Medicaid Paid
29
Total Claims
29
Beneficiaries
1
Codes Billed
2018-10
First Month
2019-03
Last Month

Provider Details

Authorized OfficialNGUYEN, ROSALIE (MANAGER)
NPI Enumeration Date11/19/2009

Related Entities

Other providers sharing the same authorized official: NGUYEN, ROSALIE

ProviderCityStateTotal Paid
EVERYBODY'S HEALTH CLINIC, PS TACOMA WA $82K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $138.60
2019 16 $163.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4927 Gloves, non-sterile, per 100 29 29 $302.40