LAKE CHARLES PHARMACEUTICAL SUPPLY COMPANY LLC
NPI: 1750446183
· LAKE CHARLES, LA 70601
· Community/Retail Pharmacy
· NPI assigned 12/26/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SALTZMAN, AMANDA (PHARMACY MANAGER) |
| Parent Organization | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION |
| NPI Enumeration Date | 12/26/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
378 |
$0.00 |
| 2022 |
17 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
92 |
92 |
$0.00 |
| 0002A |
|
130 |
130 |
$0.00 |
| 0003A |
|
65 |
65 |
$0.00 |
| 0001A |
|
108 |
108 |
$0.00 |