NPI: 1295422962 · BENNETTSVILLE, SC 29512 · Pharmacy · NPI assigned 04/21/2023
| Authorized Official | DOWDY, ANITA (OWNER) |
| NPI Enumeration Date | 04/21/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 66 | $602.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T5999 | Supply, not otherwise specified | 66 | 66 | $602.56 |