NPI: 1386748341 · MADISONVILLE, TN 37354 · Pharmacy · NPI assigned 09/12/2006
| Authorized Official | TALLENT, JAMES (OWNER) |
| NPI Enumeration Date | 09/12/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90686 | 12 | 12 | $0.00 |