NPI: 1508112392 · AUSTIN, TX 78757 · Long Term Care Pharmacy · NPI assigned 07/30/2012
| Authorized Official | ERICKSON, ELIJAH (DIRECTOR OF REVENUE CYCLE) |
| NPI Enumeration Date | 07/30/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 75 | $9.36 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| J3490 | Unclassified drugs | 75 | 42 | $9.36 |