NPI: 1093824880 · WHITEWATER, WI 53190 · Pharmacy · NPI assigned 08/29/2006
| Authorized Official | MCCULLOUGH, JAMES (VICE PRESIDENT) |
| NPI Enumeration Date | 08/29/2006 |
Other providers sharing the same authorized official: MCCULLOUGH, JAMES
| Provider | City | State | Total Paid |
|---|---|---|---|
| RENALYTIX AI, INC. | NEW YORK | NY | $18K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 53 | $532.32 |
| 2019 | 55 | $0.00 |