NPI: 1104847151 · WALNUT RIDGE, AR 72476 · Pharmacy · NPI assigned 07/22/2006
| Authorized Official | ENGELKEN, BENJAMIN (OWNER) |
| NPI Enumeration Date | 07/22/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 12 | 12 | $0.00 |