All Medicaid billing entities listing NICKLAS, DAVID (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oklahoma | 1 | $66.55 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | HARRISON DISCOUNT PHARMACY PLLC | SHAWNEE, OK | Pharmacy | $66.55 |