MONTGOMERY PHARMACY LLC
NPI: 1801877287
· MONTGOMERY, LA 71454
· Pharmacy
· NPI assigned 11/11/2005
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BARTLEY, VINCE (OWNER) |
| NPI Enumeration Date | 11/11/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$0.00 |
| 2019 |
27 |
$0.00 |
| 2020 |
42 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
55 |
54 |
$0.00 |
| 90686 |
|
44 |
44 |
$0.00 |