NPI: 1952382178 · SHAWANO, WI 54166 · Pharmacist · NPI assigned 11/07/2005
| Authorized Official | DREIER, TIM (VICE PRESIDENT) |
| NPI Enumeration Date | 11/07/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 46 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9150 | Non-prescription drugs | 46 | 40 | $2K |