NPI: 1750895090 · HENDERSON, KY 42420 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/22/2017
| Authorized Official | RAY, TREVOR (SECRETARY/OWNER) |
| NPI Enumeration Date | 11/22/2017 |
Other providers sharing the same authorized official: RAY, TREVOR
| Provider | City | State | Total Paid |
|---|---|---|---|
| EDMONSON DRUG COMPANY INC | BROWNSVILLE | KY | $1K |
| MIDWAY PHARMACY OF CLARKSON INC | LEITCHFIELD | KY | $0.00 |
| EDMONSON DRUG COMPANY INC | BROWNSVILLE | KY | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 19 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0013A | 19 | 19 | $0.00 |