NPI: 1598704462 · DUNWOODY, GA 30350 · Pharmacy · NPI assigned 06/06/2006
| Authorized Official | RUSK, DAIN (VP PHARMACY) |
| NPI Enumeration Date | 06/06/2006 |
Other providers sharing the same authorized official: RUSK, DAIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| PUBLIX SUPER MARKETS INC | SUGAR HILL | GA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 65 | $60.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90674 | 65 | 62 | $60.00 |