NPI: 1003296518 · OAK CREEK, WI 53154 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/01/2015
| Authorized Official | BEAUCH, JASON (DIRECTOR OF PHARMACY MANAGED CARE) |
| NPI Enumeration Date | 06/01/2015 |
Other providers sharing the same authorized official: BEAUCH, JASON
| Provider | City | State | Total Paid |
|---|---|---|---|
| MEIJER INC | MUSKEGON | MI | $462.55 |
| MEIJER INC | BIG RAPIDS | MI | $277.42 |
| MEIJER INC | CADILLAC | MI | $207.35 |
| MEIJER INC | LANSING | MI | $51.59 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 16 | $355.20 |
| 2021 | 1,040 | $17K |
| 2022 | 168 | $3K |
| 2023 | 14 | $487.53 |