NPI: 1003890252 · GASTONIA, NC 28054 · Pharmacy · NPI assigned 12/01/2005
| Authorized Official | HOLLAND, RONALD (PRESIDENT) |
| NPI Enumeration Date | 12/01/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 28 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91303 | 28 | 12 | $0.00 |