NPI: 1932140365 · SAINT JOSEPH, MI 49085 · Community/Retail Pharmacy · NPI assigned 06/09/2006
| Authorized Official | BUSSIS, JAMES (PRESIDENT) |
| NPI Enumeration Date | 06/09/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 484 | $13K |
| 2020 | 641 | $14K |
| 2021 | 235 | $5K |
| 2022 | 564 | $15K |