NPI: 1821537929 · HAMBURG, AR 71646 · Long Term Care Pharmacy · NPI assigned 02/22/2017
| Authorized Official | BOWEN, BRANDY (PIC/PHARMACIST) |
| NPI Enumeration Date | 02/22/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 19 | $200.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 19 | 12 | $200.00 |