THREE AMIGOS APOTHECARY LLC
NPI: 1992078117
· GALENA, KS 66739
· Pharmacy
· NPI assigned 02/18/2012
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | CASWELL, BRIAN (OWNER) |
| NPI Enumeration Date | 02/18/2012 |
Related Entities
Other providers sharing the same authorized official: CASWELL, BRIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
56 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90480 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| 90694 |
|
14 |
14 |
$0.00 |
| 91322 |
|
13 |
13 |
$0.00 |