NPI: 1427191154 · DERMOTT, AR 71638 · Long Term Care Pharmacy · NPI assigned 02/14/2007
| Authorized Official | CROUSE, KHALIL (PRESIDENT) |
| NPI Enumeration Date | 02/14/2007 |
Other providers sharing the same authorized official: CROUSE, KHALIL
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTICELLO DRUG COMPANY LLC | MONTICELLO | AR | $14K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 462 | $2K |