MANDEVILLE PHARMACY LLC

Community/Retail Pharmacy · MANDEVILLE, LA

Organization Active NPI 1548616998

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241948$19,024$3,467$3,467
20233380$21,997$5,405$5,405
2022134521$47,041$11,046$11,046

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90653Influenza vaccine, inactivated15$82$82
G0008Administration of influenza virus vaccine15$30$30

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community/Retail Pharmacy3336C0003XPHY.007316-IRLA
Pharmacy333600000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.