Based on public Medicaid payment data.
Lucky Pharmacy Inc
Medicaid Provider in San Gabriel, CA
Type
Organization
Address
416 W Las Tunas Dr
San Gabriel, CA 917761236
Phone
6262822277
NPI
1780685263
Procedures
1
Total Claims
32
Patients Served
32
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 | $0.00 | 32 | 32 |
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