LOUISIANA CVS PHARMACY, L.L.C.
NPI: 1831296318
· SULPHUR, LA 70663
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
48 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90686 |
|
19 |
19 |
$0.00 |
| G0008 |
Admin influenza virus vac |
29 |
29 |
$0.00 |