All Medicaid billing entities listing BECKER, SHANE (OWNER/MANAGER/PIC) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Missouri | 1 | $45.65 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | OLD TOWN PHARMACY LLC | MONETT, MO | Community/Retail Pharmacy | $45.65 |