NPI: 1962927855 · FLOYD, VA 24091 · Pharmacy · NPI assigned 08/11/2017
| Authorized Official | THOMPSON, PORTIA (OWNER) |
| NPI Enumeration Date | 08/11/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $240.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0004A | 15 | 15 | $240.00 |