All Medicaid billing entities listing TAN, DAVE (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Jersey | 1 | $710.97 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | JERSEY APOTHECARY INC | JERSEY CITY, NJ | Community/Retail Pharmacy | $710.97 |