NPI: 1861898512 · CLARKSVILLE, TN 37040 · Long Term Care Pharmacy · NPI assigned 11/07/2014
| Authorized Official | SHELLY, KEITH (DIRECTOR OF PHARMACY) |
| NPI Enumeration Date | 11/07/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $0.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 90688 | 13 | 12 | $0.00 |