NPI: 1912217589 · RUSSELL SPRINGS, KY 42642 · Pharmacy · NPI assigned 10/18/2010
| Authorized Official | GIDER, JONATHAN (PHARMACIST-IN-CHARGE) |
| NPI Enumeration Date | 10/18/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $39.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 15 | 14 | $39.60 |