NPI: 1245246891 · EAGLE RIVER, WI 54521 · Pharmacy · NPI assigned 08/01/2006
| Authorized Official | SOLBERG, TRYGVE (CEO) |
| NPI Enumeration Date | 08/01/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 28 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91300 | 28 | 28 | $0.00 |