Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › SHREVEPORT › WHITE'S COMPOUNDING PHARMACY, LLC

WHITE'S COMPOUNDING PHARMACY, LLC

NPI: 1770648677 · SHREVEPORT, LA 71103 · Pharmacist · NPI assigned 12/22/2006

$0.00
Total Medicaid Paid
81
Total Claims
81
Beneficiaries
2
Codes Billed
2021-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialBOUDREAUX, DOUG (OWNER)
NPI Enumeration Date12/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 81 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 37 37 $0.00
0011A 44 44 $0.00