NPI: 1134668445 · FENTON, MO 63026 · Pharmacy · NPI assigned 02/20/2017
| Authorized Official | CERIOTTI, JANICE (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 02/20/2017 |
Other providers sharing the same authorized official: CERIOTTI, JANICE
| Provider | City | State | Total Paid |
|---|---|---|---|
| MISSOURI LTC PHARMACY LLC | BROOKLINE | MO | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 67 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0064A | 67 | 60 | $0.00 |