NPI: 1841302767 · MONONA, WI 53716 · Pharmacy · NPI assigned 08/31/2006
| Authorized Official | HEWITT, ERIC (OWNER PHARMACIST) |
| NPI Enumeration Date | 08/31/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 43 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0004A | 43 | 41 | $1K |