NPI: 1700961091 · SHAWNEE, OK 74801 · Pharmacy · NPI assigned 10/26/2006
| Authorized Official | NICKLAS, DAVID (OWNER) |
| NPI Enumeration Date | 10/26/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $66.55 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 12 | 12 | $66.55 |