NPI: 1316251432 · MENA, AR 71953 · Community/Retail Pharmacy · NPI assigned 07/30/2010
| Authorized Official | ERICKSON, BRIAN (PHARMACIST / OWNER) |
| NPI Enumeration Date | 07/30/2010 |
Other providers sharing the same authorized official: ERICKSON, BRIAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| TAPESTRY FAMILY SERVICES, INC. | UKIAH | CA | $4.55M |
| JEFFERSON CHIROPRACTIC CENTER, INC. | SHEPHERDSTOWN | WV | $118K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 40 | $780.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 40 | 37 | $780.00 |