All Medicaid billing entities listing LICHLYTER, TIMOTHY (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oregon | 1 | $24.22 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CENTRAL DRUG STORE INC | SHADY COVE, OR | Pharmacy | $24.22 |