All Medicaid billing entities listing FULLER, JOHNATHAN (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Kentucky | 1 | $0.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MIDTOWN PHARMACY EXPRESS, LLC | BEAVER DAM, KY | Compounding Pharmacy | $0.00 |