NPI: 1881750156 · MC KENZIE, TN 38201 · Compounding Pharmacy · NPI assigned 12/29/2006
| Authorized Official | PHIPPS, JERRY (PRESIDENT AND CEO) |
| NPI Enumeration Date | 12/29/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91322 | 12 | 12 | $0.00 |