NPI: 1790034064 · PEVELY, MO 63070 · Compounding Pharmacy · NPI assigned 09/02/2012
| Authorized Official | WANG, JASON (PRESIDENT) |
| NPI Enumeration Date | 09/02/2012 |
Other providers sharing the same authorized official: WANG, JASON
| Provider | City | State | Total Paid |
|---|---|---|---|
| DESERT PEDIATRICS, LLC | EL PASO | TX | $97K |
| TOMLYN, INC | AFFTON | MO | $55K |
| MS MGC INC | MONTGOMERY CITY | MO | $900.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 863 | $56K |