NPI: 1639495237 · MAUSTON, WI 53948 · Long Term Care Pharmacy · NPI assigned 04/08/2010
| Authorized Official | MACARDY, WAYNE (OWNER/PHARMACIST) |
| NPI Enumeration Date | 04/08/2010 |
Other providers sharing the same authorized official: MACARDY, WAYNE
| Provider | City | State | Total Paid |
|---|---|---|---|
| PHILLIPS TOMAH PHARMACY INC | TOMAH | WI | $684.95 |
| PHILLIPS ROCHE A CRI CLINIC PHARMACY INC | FRIENDSHIP | WI | $379.04 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 102 | $711.53 |
| 2024 | 422 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9150 | Non-prescription drugs | 524 | 383 | $8K |