All Medicaid billing entities listing BLACK, ERIC (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Illinois | 1 | $1.00M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MT VERNON COMMUNITY PHARMACY INC | MOUNT VERNON, IL | Community/Retail Pharmacy | $1.00M |