NPI: 1912312828 · MEMPHIS, TN 38127 · Pharmacy · NPI assigned 06/30/2014
| Authorized Official | LYLES, MARCUS (PHARMACY MANAGER) |
| NPI Enumeration Date | 06/30/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 71 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1399 | Durable medical equipment, miscellaneous | 71 | 30 | $0.00 |