NPI: 1184707176 · WILLIAMSTON, MI 48895 · Community/Retail Pharmacy · NPI assigned 10/23/2006
| Authorized Official | HART, AMANDA (OWNER) |
| NPI Enumeration Date | 10/23/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $650.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99605 | 13 | 13 | $650.00 |