NPI: 1700253861 · SOUTH CHARLESTON, WV 25309 · Pharmacy · NPI assigned 08/25/2015
| Authorized Official | ILANGOVAN, SIDDARTHAN (PHARMACIST) |
| NPI Enumeration Date | 08/25/2015 |
Other providers sharing the same authorized official: ILANGOVAN, SIDDARTHAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| BYPASS PHARMACY, INC | BECKLEY | WV | $854.20 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 80 | $0.00 |
| 2021 | 117 | $0.00 |