NPI: 1356434930 · FULTON, KY 42041 · Pharmacist · NPI assigned 10/02/2006
| Authorized Official | PRATER, DAVID (OWNER/PHARMACIST) |
| NPI Enumeration Date | 10/02/2006 |
Other providers sharing the same authorized official: PRATER, DAVID
| Provider | City | State | Total Paid |
|---|---|---|---|
| EVANS TOTAL CARE, LLC | FULTON | KY | $66K |
| MEDICAL RENTALS INC | MARTIN | TN | $39K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 18 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0013A | 18 | 18 | $0.00 |