SAINT-MARK ENTERPRISES 112 LLC
NPI: 1659511707
· SPOKANE, WA 99205
· Community/Retail Pharmacy
· NPI assigned 03/03/2009
$784.80
Total Medicaid Paid
Provider Details
| Authorized Official | ST. GERMAIN, RIK (OWNER) |
| Parent Organization | SAINT-MARK ENTERPRISES LLC |
| NPI Enumeration Date | 03/03/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
68 |
$337.90 |
| 2023 |
73 |
$381.50 |
| 2024 |
12 |
$65.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
153 |
153 |
$784.80 |