NPI: 1295169753 · HATTIESBURG, MS 39402 · Community/Retail Pharmacy · NPI assigned 09/02/2013
| Authorized Official | SCOGGIN, MICHELLE (PHARMACIST/CO-OWNER) |
| NPI Enumeration Date | 09/02/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 17 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0124A | 17 | 17 | $0.00 |