NPI: 1962973743 · GREENFIELD, MO 65661 · Pharmacy · NPI assigned 12/05/2018
| Authorized Official | FREEZE, ALLISON (OWNER) |
| NPI Enumeration Date | 12/05/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $904.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99607 | 13 | 13 | $904.56 |