NPI: 1487719803 · MARION, OH 43302 · Pharmacy · NPI assigned 12/26/2006
| Authorized Official | WILEY, DONALD (PHARM AND OWNER) |
| NPI Enumeration Date | 12/26/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 169 | $8K |
| 2019 | 14 | $567.59 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 183 | 161 | $8K |