NPI: 1740615491 · RUSSELLVILLE, KY 42276 · Pharmacy · NPI assigned 09/12/2013
| Authorized Official | YATES, SCOTT (PRESIDENT/OWNER) |
| NPI Enumeration Date | 09/12/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 14 | 14 | $0.00 |