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CENTERWELL PHARMACY, INC. SOS Verified

Pharmacy, Community/Retail Pharmacy ยท PAHRUMP, NV

1397 S LOOP RD, PAHRUMP, NV 89048

NPI Number
1366961781
SOS Verification: Verified
Entity Name: CENTERWELL PHARMACY, INC.
Entity Number: C8462-2001
Entity Type: Foreign Corporation
Entity Status: Active
Formation Date: 2001-04-03
Name Match: 95%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
TitleNameAddressStatus
TreasurerRobert Marcoux101 E. Main St., Louisville, KYActive
PresidentBethanie L. Stein101 E. Main St., Louisville, KYActive
DirectorRobert Marcoux101 E. Main St., Louisville, KYActive
DirectorBethanie L. Stein101 E. Main St., Louisville, KYActive
SecretaryCourtney Durall101 E. Main St., Louisville, KYActive
DirectorDaniel Feld101 E. Main St., Louisville, KYActive

Payments by Year

How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.

Year Total Paid % of Max
2021$0

Procedure Code Breakdown

The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.

HCPCS Code Description Claims Paid % of Total Avg per Claim
0013AMedical service or procedure29$0
0.0%
$0