NPI: 1609864818 · ADEL, IA 50003 · Pharmacy · NPI assigned 10/11/2005
| Authorized Official | CLAUSEN, JANE (OWNER) |
| NPI Enumeration Date | 10/11/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $208.86 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90630 | 13 | 13 | $208.86 |