NPI: 1457819922 · WAYNE, NE 68787 · Community/Retail Pharmacy · NPI assigned 03/04/2019
| Authorized Official | LUEDERS, KIMBERLY (PHARMACY DIRECTOR) |
| NPI Enumeration Date | 03/04/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 12 | 12 | $0.00 |