All Medicaid billing entities listing EVANCIC, PRUDENCE (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Pennsylvania | 1 | $3K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DORAL PHARMACEUTICALS LLC | PITTSBURGH, PA | Pharmacy | $3K |