NPI: 1235681081 · GREENEVILLE, TN 37745 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/27/2016
| Authorized Official | RUSK, DAIN (VP PHARMACY) |
| NPI Enumeration Date | 10/27/2016 |
Other providers sharing the same authorized official: RUSK, DAIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| PUBLIX SUPER MARKETS INC | SUGAR HILL | GA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 18 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90674 | 18 | 18 | $0.00 |