NPI: 1366961781 · PAHRUMP, NV 89048 · Clinic Pharmacy · NPI assigned 09/18/2017
| Authorized Official | LYSINGER, SEAN (VP) |
| NPI Enumeration Date | 09/18/2017 |
Other providers sharing the same authorized official: LYSINGER, SEAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| CENTERWELL PHARMACY, INC. | WEST CHESTER | OH | $222K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 29 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0013A | 29 | 29 | $0.00 |