GOTHENBURG DISCOUNT PHARMACY INC.
NPI: 1740291558
· GOTHENBURG, NE 69138
· Skilled Nursing Facility
· NPI assigned 08/10/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, ADAM (PRESIDENT/ CEO) |
| NPI Enumeration Date | 08/10/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
12 |
12 |
$0.00 |