NPI: 1184764458 · EVERSON, WA 98247 · Community/Retail Pharmacy · NPI assigned 02/07/2007
| Authorized Official | KAMMENGA, MEAGAN (OWNER) |
| NPI Enumeration Date | 02/07/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 63 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 63 | 49 | $0.00 |