NPI: 1851935688 · GREEN RIVER, WY 82935 · Community/Retail Pharmacy · NPI assigned 11/05/2019
| Authorized Official | KILLPACK, ALMA (PIC) |
| NPI Enumeration Date | 11/05/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0003A | 12 | 12 | $0.00 |