KELLY PHARMACY INC KELLY PHARMACY & GIFTS
NPI: 1760576011
· PLAIN DEALING, LA 71064
· Long Term Care Pharmacy
· NPI assigned 10/03/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BOGGS, PATRICK (PRESIDENT) |
| NPI Enumeration Date | 10/03/2006 |
Related Entities
Other providers sharing the same authorized official: BOGGS, PATRICK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
694 |
$0.00 |
| 2022 |
557 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
159 |
158 |
$0.00 |
| 0134A |
|
279 |
279 |
$0.00 |
| 0012A |
|
140 |
140 |
$0.00 |
| 0064A |
|
532 |
532 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
61 |
61 |
$0.00 |
| 0013A |
|
80 |
80 |
$0.00 |