NPI: 1710070156 · SHELBYVILLE, IN 46176 · Compounding Pharmacy · NPI assigned 09/30/2006
| Authorized Official | DORSEY, JANA BETH (DIRECTOR) |
| NPI Enumeration Date | 09/30/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 51 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0004A | 51 | 51 | $0.00 |