NPI: 1437436011 · PONCHATOULA, LA 70454 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/09/2011
| Authorized Official | TALLEY, JOHN (OWNER / COMPOUNDING PHARMACIST) |
| NPI Enumeration Date | 11/09/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 162 | $0.00 |
| 2022 | 13 | $0.00 |