All Medicaid billing entities listing HALL, KODY (CEO/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Nebraska | 1 | $164.01 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | YOUR HOMETOWN PHARMACY INC | LA VISTA, NE | Long Term Care Pharmacy | $164.01 |