NPI: 1316960453 · ELIZABETHTOWN, KY 42701 · Long Term Care Pharmacy · NPI assigned 07/26/2006
| Authorized Official | GRAVIL, MARTIN (PHARMACIST) |
| NPI Enumeration Date | 07/26/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $0.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 0001A | 12 | 12 | $0.00 |