NPI: 1083098263 · SARCOXIE, MO 64862 · Long Term Care Pharmacy · NPI assigned 07/16/2015
| Authorized Official | PRATER, KOBY (MANAGING MEMBER) |
| NPI Enumeration Date | 07/16/2015 |
Other providers sharing the same authorized official: PRATER, KOBY
| Provider | City | State | Total Paid |
|---|---|---|---|
| B P & W INC | SENECA | MO | $7K |
| B. P. & W., INC. | WEBB CITY | MO | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 38 | $3K |
| 2024 | 55 | $2K |