NPI: 1023339454 · JAMAICA, NY 11436 · Long Term Care Pharmacy · NPI assigned 06/21/2010
| Authorized Official | RALLAKIS, HARALAMPOS (PRESIDENT) |
| NPI Enumeration Date | 06/21/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $122.80 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| A4259 | Lancets, per box of 100 | 28 | 24 | $122.80 |