NPI: 1255374468 · BLAIR, WI 54616 · Pharmacy · NPI assigned 06/14/2006
| Authorized Official | MOLSTAD, DANIEL (DIRECTOR OF PHARMACY) |
| NPI Enumeration Date | 06/14/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $67.10 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9150 | Non-prescription drugs | 12 | 12 | $67.10 |