NPI: 1609931039 · TWIN FALLS, ID 83301 · Pharmacy · NPI assigned 12/26/2006
| Authorized Official | WADSWORTH, THOMAS (OWNER) |
| NPI Enumeration Date | 12/26/2006 |
Other providers sharing the same authorized official: WADSWORTH, THOMAS
| Provider | City | State | Total Paid |
|---|---|---|---|
| TNT APOTHECARY LLC | WENDELL | ID | $530.50 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 16 | 16 | $0.00 |