NPI: 1326057308 · FOWLERVILLE, MI 48836 · Community/Retail Pharmacy · NPI assigned 08/07/2006
| Authorized Official | KANDAGATLA, KRISHNA (MEMBER) |
| NPI Enumeration Date | 08/07/2006 |
Other providers sharing the same authorized official: KANDAGATLA, KRISHNA
| Provider | City | State | Total Paid |
|---|---|---|---|
| CENTRAL PHARMACY - MLK LLC | LANSING | MI | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 82 | $3K |
| 2023 | 12 | $600.00 |