NPI: 1962077008 · MARRERO, LA 70072 · Specialty Pharmacy · NPI assigned 05/21/2021
| Authorized Official | WILLIAMS, SHONDRA (CEO) |
| NPI Enumeration Date | 05/21/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0003A | 12 | 12 | $0.00 |