NPI: 1922418615 · SALEM, AR 72576 · Community/Retail Pharmacy · NPI assigned 05/02/2014
| Authorized Official | CLARK, SARAH (MEMBER/OWNER) |
| NPI Enumeration Date | 05/02/2014 |
Other providers sharing the same authorized official: CLARK, SARAH
| Provider | City | State | Total Paid |
|---|---|---|---|
| SCALIA OTR/L, INC. | NORTH LITTLE ROCK | AR | $3.83M |
| RICK'S AMT LLC | PORT AUSTIN | MI | $3.73M |
| BURNS RX LLC | MAMMOTH SPRING | AR | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 360 | $2K |