NPI: 1245831601 · HARRISVILLE, WV 26362 · Community/Retail Pharmacy · NPI assigned 11/03/2020
| Authorized Official | PHARES, LEA ANN (CO-OWNER) |
| NPI Enumeration Date | 11/03/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 15 | 15 | $0.00 |