NPI: 1043290299 · NEWPORT, AR 72112 · Pharmacy · NPI assigned 01/21/2006
| Authorized Official | DAVIS, MARY (OFFICER/SECRETARY) |
| NPI Enumeration Date | 01/21/2006 |
Other providers sharing the same authorized official: DAVIS, MARY
| Provider | City | State | Total Paid |
|---|---|---|---|
| SANTA MONICA | OMAHA | NE | $459K |
| MENTAL HEALTH ASSOCIATES OF THE TRIAD | HIGH POINT | NC | $56K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 377 | $3K |