NPI: 1679763346 · CHILLICOTHE, OH 45601 · Community/Retail Pharmacy · NPI assigned 07/30/2007
| Authorized Official | KNISLEY, MATTHEW (PRESIDENT) |
| NPI Enumeration Date | 07/30/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $866.91 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 13 | 12 | $866.91 |