RODEANPHARMA LLC
NPI: 1992275259
· MILFORD, MA 01757
· Community/Retail Pharmacy
· NPI assigned 11/29/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | ARDAKANI, ALI (PHARMACY MANAGER) |
| NPI Enumeration Date | 11/29/2018 |
Related Entities
Other providers sharing the same authorized official: ARDAKANI, ALI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
45 |
$0.00 |
| 2022 |
65 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90674 |
|
12 |
12 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
74 |
74 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |