NPI: 1801103486 · PALM HARBOR, FL 34684 · Pharmacy · NPI assigned 09/02/2010
| Authorized Official | SHAKER, MICHAEL (PHARMACY MANAGER) |
| NPI Enumeration Date | 09/02/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 20 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0124A | 20 | 14 | $0.00 |