All Medicaid billing entities listing STANDEFER, JACOB (MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Tennessee | 1 | $47.19 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | WHITWELL PHARMACY INC | WHITWELL, TN | Pharmacy | $47.19 |