All Medicaid billing entities listing FOGLE, SHANE (PIC) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Kentucky | 1 | $24.53 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CENTRAL CITY CLINIC PHARMACY INC | CENTRAL CITY, KY | Clinic Pharmacy | $24.53 |