All Medicaid billing entities listing RIDER, JONATHAN (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| West Virginia | 1 | $85K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | RIDER PHARMACY INC | FAIRMONT, WV | Community/Retail Pharmacy | $85K |