NPI: 1962553404 · DEWITT, AR 72042 · Long Term Care Pharmacy · NPI assigned 01/12/2007
| Authorized Official | BLACK, TOMMY (PHARMACIST) |
| NPI Enumeration Date | 01/12/2007 |
Other providers sharing the same authorized official: BLACK, TOMMY
| Provider | City | State | Total Paid |
|---|---|---|---|
| TOMMYS REXALL DRUG COMPANY INC | DE WITT | AR | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 16 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0013A | 16 | 16 | $0.00 |