GORDON'S PHARMACY AND GIFTS LLC
NPI: 1831236991
· CANYONVILLE, OR 97417
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/30/2007
$220.23
Total Medicaid Paid
Provider Details
| Authorized Official | STEVENS, DAVID (PRESIDENT) |
| NPI Enumeration Date | 01/30/2007 |
Related Entities
Other providers sharing the same authorized official: STEVENS, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
13 |
$220.23 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99406 |
|
13 |
12 |
$220.23 |