All Medicaid billing entities listing BOVENIZER, JERRY (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| West Virginia | 1 | $565.52 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GOODYKOONTZ DRUG STORES INC | BLUEFIELD, WV | Pharmacy | $565.52 |