NPI: 1669487294 · RUSSELLVILLE, AR 72801 · Long Term Care Pharmacy · NPI assigned 07/30/2006
| Authorized Official | KASSISSIEH, RANDY (OWNER) |
| NPI Enumeration Date | 07/30/2006 |
Other providers sharing the same authorized official: KASSISSIEH, RANDY
| Provider | City | State | Total Paid |
|---|---|---|---|
| D.L. BAKER DRUG CO., INC. | NORTH LITTLE ROCK | AR | $22K |
| ST. FRANCIS DISCOUNT PHARMACY LLC | FORREST CITY | AR | $166.35 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 457 | $5K |