NPI: 1932839370 · FARGO, ND 58102 · Community/Retail Pharmacy · NPI assigned 06/16/2022
| Authorized Official | HEISER, JUSTIN (CEO) |
| NPI Enumeration Date | 06/16/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,038 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9150 | Non-prescription drugs | 1,038 | 91 | $41K |