NPI: 1821054289 · WAYNESBORO, TN 38485 · Community/Retail Pharmacy · NPI assigned 04/25/2006
| Authorized Official | DUREN, JERRY (OWNER) |
| NPI Enumeration Date | 04/25/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90674 | 17 | 15 | $0.00 |