NPI: 1689686651 · INDIANTOWN, FL 34956 · Community/Retail Pharmacy · NPI assigned 08/11/2006
| Authorized Official | RUCKS, BRIAN (OWNER/PHARMACIST) |
| NPI Enumeration Date | 08/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 26 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0064A | 26 | 25 | $0.00 |