WHITEHALL PHARMACY LLC
NPI: 1982254082
· STAR CITY, AR 71667
· Community/Retail Pharmacy
· NPI assigned 09/19/2019
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | STICE, FLOYD (OWNER) |
| NPI Enumeration Date | 09/19/2019 |
Related Entities
Other providers sharing the same authorized official: STICE, FLOYD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
180 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0013A |
|
12 |
12 |
$0.00 |
| 0012A |
|
57 |
57 |
$0.00 |
| 0011A |
|
79 |
79 |
$0.00 |
| 91301 |
|
32 |
32 |
$0.00 |