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Based on public Medicaid payment data.

Nicholas L Smith Pharmacy Llc

Medicaid Provider in Little Chute, WI

Type

Organization

Address

1914 Freedom Rd

Little Chute, WI 541401294

Phone

9207888888

NPI

1851724637

Procedures

1

Total Claims

176

Patients Served

169

About these costs

All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.

Procedures & Average Costs

Procedure Avg. Paid Claims Patients
Vaccines & Immunizations $23.38 176 169

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