NPI: 1033558689 · VILONIA, AR 72173 · Pharmacy · NPI assigned 06/17/2013
| Authorized Official | HARRIS, TAHNYA (PHARMACIST/OWNER) |
| NPI Enumeration Date | 06/17/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 13 | 12 | $1K |