NPI: 1790182954 · OBERLIN, KS 67749 · Long Term Care Pharmacy · NPI assigned 12/03/2014
| Authorized Official | RICE, CHASE (OWNER) |
| NPI Enumeration Date | 12/03/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 26 | $88.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0013A | 26 | 26 | $88.00 |