NPI: 1770543464 · OAK GROVE, LA 71263 · Long Term Care Pharmacy · NPI assigned 03/25/2006
| Authorized Official | SCIARA, KELLI (AUTH REP PHARM DIRECTOR) |
| NPI Enumeration Date | 03/25/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 80305 | 18 | 18 | $0.00 |