NPI: 1902275928 · LANSING, MI 48910 · Pharmacy · NPI assigned 09/21/2015
| Authorized Official | KANDAGATLA, KRISHNA (OWNER) |
| NPI Enumeration Date | 09/21/2015 |
Other providers sharing the same authorized official: KANDAGATLA, KRISHNA
| Provider | City | State | Total Paid |
|---|---|---|---|
| FOWLERVILLE RX LLC | FOWLERVILLE | MI | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 126 | $4K |
| 2022 | 32 | $180.00 |
| 2023 | 23 | $140.00 |