NPI: 1093889396 · MONTELLO, WI 53949 · Health Service Clinic/Center · NPI assigned 11/20/2006
| Authorized Official | JACHTHUBER, ERIC (OWNER) |
| NPI Enumeration Date | 11/20/2006 |
Other providers sharing the same authorized official: JACHTHUBER, ERIC
| Provider | City | State | Total Paid |
|---|---|---|---|
| RIVER RUN PHARMACIES, INC | PRINCETON | WI | $5K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 284 | $10K |
| 2022 | 18 | $686.88 |