All Medicaid billing entities listing BOONE, LARRY (PRES) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Mississippi | 1 | $69.04 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BOONES PHARMACY INC | POPLARVILLE, MS | Long Term Care Pharmacy | $69.04 |