NPI: 1154878783 · LAKE ST LOUIS, MO 63367 · Community/Retail Pharmacy · NPI assigned 09/01/2016
| Authorized Official | CARROLL, JENNIFER (PRESIDENT) |
| NPI Enumeration Date | 09/01/2016 |
Other providers sharing the same authorized official: CARROLL, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| EUGENE FAMILY MEDICINE ASSOCIATES, LLC | EUGENE | OR | $10K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 25 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99607 | 25 | 25 | $2K |