NPI: 1588778575 · WAUSAU, WI 54401 · Pharmacy · NPI assigned 08/18/2006
| Authorized Official | HOEHN, KEITH (PHARMACY MANAGER) |
| NPI Enumeration Date | 08/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 23 | $485.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90686 | 23 | 18 | $485.20 |