NPI: 1497766232 · HURLEY, WI 54534 · Long Term Care Pharmacy · NPI assigned 08/10/2006
| Authorized Official | PECHACEK, MARK (PRESIDENT) |
| NPI Enumeration Date | 08/10/2006 |
Other providers sharing the same authorized official: PECHACEK, MARK
| Provider | City | State | Total Paid |
|---|---|---|---|
| ASHLAND PHARMACY INC | ASHLAND | WI | $5K |
| PARK PHARMACY INC | PARK FALLS | WI | $5K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 29 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91301 | 29 | 26 | $0.00 |