NPI: 1265521819 · SAN BERNARDINO, CA 92404 · Pharmacy · NPI assigned 10/12/2006
| Authorized Official | CLARK, ERIC (CEO) |
| NPI Enumeration Date | 10/12/2006 |
Other providers sharing the same authorized official: CLARK, ERIC
| Provider | City | State | Total Paid |
|---|---|---|---|
| RISING UP FAMILY SERVICES, LLC | SHREVEPORT | LA | $756K |
| WILCOX PROPERTIES OF COLUMBIA LLC | COLUMBIA | MO | $676K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 99 | $5K |