NPI: 1134682693 · OAK RIDGE, TN 37830 · Compounding Pharmacy · NPI assigned 04/11/2019
| Authorized Official | WILHOIT, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 04/11/2019 |
Other providers sharing the same authorized official: WILHOIT, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| MAC'S PHARMACY 2 | POWELL | TN | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 197 | $3K |