All Medicaid billing entities listing MOORE, IVY (PHARMACIST AND OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arkansas | 1 | $17K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | WILSON BEARDEN PHARMACY INC | MAGNOLIA, AR | Durable Medical Equipment & Medical Supplies | $17K |