NPI: 1235237108 · CREEDMOOR, NC 27522 · Pharmacy · NPI assigned 09/21/2006
| Authorized Official | WHEELER, ROBERT (PRES/OWNER) |
| NPI Enumeration Date | 09/21/2006 |
Other providers sharing the same authorized official: WHEELER, ROBERT
| Provider | City | State | Total Paid |
|---|---|---|---|
| EAGLE CREST LIFE SERVICES, INC. | COEUR D ALENE | ID | $326K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 72 | $2K |