NPI: 1982078887 · BLYTHEVILLE, AR 72315 · Community/Retail Pharmacy · NPI assigned 11/16/2015
| Authorized Official | ROSE, JOHN (RPH/OWNER) |
| NPI Enumeration Date | 11/16/2015 |
Other providers sharing the same authorized official: ROSE, JOHN
| Provider | City | State | Total Paid |
|---|---|---|---|
| TOWN OF OAK BLUFFS | OAK BLUFFS | MA | $111K |
| NORTHSTAR DX LLC | DALLAS | TX | $1K |
| JOHN S ROSE DMD PC | TALLASSEE | AL | $308.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 133 | $0.00 |