NPI: 1083161038 · JACKSONVILLE, AR 72076 · Compounding Pharmacy · NPI assigned 09/07/2016
| Authorized Official | HARRISON, T F KENNETH (OWNER/PRESIDENT/AO) |
| NPI Enumeration Date | 09/07/2016 |
Other providers sharing the same authorized official: HARRISON, T F KENNETH
| Provider | City | State | Total Paid |
|---|---|---|---|
| CORNERSTONE PHARMACY MAIN LLC | LITTLE ROCK | AR | $188.39 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,290 | $38K |
| 2022 | 64 | $6K |