LONG LIFE PHARMACY LLC
NPI: 1699334532
· MILWAUKEE, WI 53204
· Community/Retail Pharmacy
· NPI assigned 06/12/2019
Provider Details
| Authorized Official | SARSOUR, MOATH (OWNER) |
| NPI Enumeration Date | 06/12/2019 |
Related Entities
Other providers sharing the same authorized official: SARSOUR, MOATH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
852 |
$42K |
| 2021 |
1,104 |
$20K |
| 2022 |
353 |
$6K |
| 2024 |
45 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99605 |
|
652 |
475 |
$36K |
| 0001A |
|
644 |
587 |
$19K |
| 99606 |
|
307 |
261 |
$11K |
| 90686 |
|
48 |
46 |
$1K |
| 90688 |
|
30 |
30 |
$964.83 |
| 90674 |
|
17 |
17 |
$706.92 |
| 91300 |
|
656 |
590 |
$0.00 |