NPI: 1851485262 · BISMARCK, ND 58501 · Long Term Care Pharmacy · NPI assigned 10/03/2006
| Authorized Official | BROSZ, TANYA (OWNER) |
| NPI Enumeration Date | 10/03/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 33 | $648.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0031A | 33 | 18 | $648.60 |