All Medicaid billing entities listing WISE, TODD (PHARMACY COORDINATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $832.61 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | RIDLEY'S FAMILY MARKETS, INC | RUPERT, ID | Durable Medical Equipment & Medical Supplies | $832.61 |