NPI: 1003456005 · BROKEN BOW, NE 68822 · Long Term Care Pharmacy · NPI assigned 01/08/2020
| Authorized Official | STURGEON, TYLER (PIC) |
| NPI Enumeration Date | 01/08/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 12 | 12 | $0.00 |