NPI: 1902830128 · SHEBOYGAN, WI 53081 · Community/Retail Pharmacy · NPI assigned 07/11/2006
| Authorized Official | THEDE, JOANNE (BILLING MANAGER) |
| NPI Enumeration Date | 07/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 140 | $4K |
| 2019 | 13 | $440.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0034 | Medication training and support, per 15 minutes | 153 | 132 | $5K |