NPI: 1306129085 · KINGFIELD, ME 04947 · Pharmacy · NPI assigned 09/20/2011
| Authorized Official | GOULD, AUDREY (PRESIDENT) |
| NPI Enumeration Date | 09/20/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 59 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0013A | 59 | 59 | $0.00 |