NPI: 1790880243 · JEFFERSON, WI 53549 · Pharmacist · NPI assigned 09/13/2006
| Authorized Official | LOTZ, JOSHUA (OWNER) |
| NPI Enumeration Date | 09/13/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 346 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9150 | Non-prescription drugs | 346 | 37 | $11K |