MULBERRY LTC PHARMACY, LLC
NPI: 1750561619
· MULBERRY, FL 33860
· Long Term Care Pharmacy
· NPI assigned 11/08/2007
$112.30
Total Medicaid Paid
Provider Details
| Authorized Official | PRESTON, BECKY (VICE PRESIDENT) |
| NPI Enumeration Date | 11/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$59.10 |
| 2020 |
33 |
$23.27 |
| 2021 |
58 |
$29.93 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
106 |
72 |
$112.30 |