NPI: 1003920091 · SWEETWATER, TN 37874 · Community/Retail Pharmacy · NPI assigned 08/18/2006
| Authorized Official | SWAINSON, JONATHAN (PHARMACY MANAGER) |
| NPI Enumeration Date | 08/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 16 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90662 | 16 | 16 | $0.00 |