NPI: 1548206345 · ELKHART, IN 46516 · Pharmacy · NPI assigned 06/21/2006
| Authorized Official | CLEMENTS, JEFFREY (OWNER/PRESIDNET) |
| NPI Enumeration Date | 06/21/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0013A | 12 | 12 | $0.00 |