FROEDTERT HEALTH PHARMACY LLC
NPI: 1669020590
· MILWAUKEE, WI 53226
· Pharmacy
· NPI assigned 09/04/2019
Provider Details
| Authorized Official | DRIZD, DALE (EXEC DIR FH PHARMACY SOLUTIONS) |
| NPI Enumeration Date | 09/04/2019 |
Related Entities
Other providers sharing the same authorized official: DRIZD, DALE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
54 |
$954.00 |
| 2023 |
30 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91320 |
|
15 |
15 |
$2K |
| 0011A |
|
27 |
25 |
$954.00 |
| 90480 |
|
15 |
15 |
$4.42 |
| 91301 |
|
27 |
25 |
$0.00 |