NPI: 1013373679 · WHEAT RIDGE, CO 80033 · Long Term Care Pharmacy · NPI assigned 01/12/2016
| Authorized Official | VANDER KOOI, ANDREW (DIRECTOR OF PHARMACY) |
| NPI Enumeration Date | 01/12/2016 |
Other providers sharing the same authorized official: VANDER KOOI, ANDREW
| Provider | City | State | Total Paid |
|---|---|---|---|
| JEFFERSON CENTER FOR MENTAL HEALTH | LAKEWOOD | CO | $28K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $494.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0031A | 14 | 14 | $494.16 |