NPI: 1528412400 · GREENWELL SPRINGS, LA 70739 · Pharmacy · NPI assigned 04/18/2016
| Authorized Official | STEVENS, KYLE (OWNER) |
| NPI Enumeration Date | 04/18/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 13 | 13 | $0.00 |