MINI THUONG XA PHARMACY INC
NPI: 1659425577
· CHICAGO, IL 60640
· Pharmacy
· NPI assigned 01/22/2007
Provider Details
| Authorized Official | PHAM, NAM (PRESIDENT) |
| NPI Enumeration Date | 01/22/2007 |
Related Entities
Other providers sharing the same authorized official: PHAM, NAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
37 |
36 |
$4K |