NPI: 1750365540 · MIDDLEVILLE, MI 49333 · Community/Retail Pharmacy · NPI assigned 12/05/2005
| Authorized Official | RAREDON, KRISTIN (OWNER) |
| NPI Enumeration Date | 12/05/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 51 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99605 | 51 | 51 | $3K |