All Medicaid billing entities listing SMART, DIPTI (PARTNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Florida | 1 | $197.76 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LEGACY PHARMACY OC LLC | ORANGE CITY, FL | Community/Retail Pharmacy | $197.76 |