NPI: 1447362454 · FARGO, ND 58102 · Pharmacy · NPI assigned 08/31/2006
| Authorized Official | FERMAN, DENA (THIRD PARTY PLAN COORDINATOR) |
| NPI Enumeration Date | 08/31/2006 |
Other providers sharing the same authorized official: FERMAN, DENA
| Provider | City | State | Total Paid |
|---|---|---|---|
| F & K INC | IRONDALE | AL | $5K |
| SHIVAM SAGAR CORPORATION | FORT PLAIN | NY | $637.64 |
| OWMA PLLC | MARTINSBURG | WV | $31.59 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 16 | $178.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0031A | 16 | 13 | $178.20 |