NPI: 1063599868 · CROSSETT, AR 71635 · Long Term Care Pharmacy · NPI assigned 11/01/2006
| Authorized Official | HOOPS, STEPHANIE (OWNER) |
| NPI Enumeration Date | 11/01/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 16 | $80.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 16 | 16 | $80.00 |