NPI: 1740354042 · PROSPECT, OH 43342 · Community/Retail Pharmacy · NPI assigned 11/20/2006
| Authorized Official | SHEEHAN, TIMMY (OWNER) |
| NPI Enumeration Date | 11/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 56 | $405.49 |
| 2019 | 28 | $267.53 |
| 2020 | 158 | $2K |
| 2021 | 87 | $1K |
| 2023 | 29 | $364.98 |
| 2024 | 97 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4927 | Gloves, non-sterile, per 100 | 455 | 396 | $6K |