NPI: 1033513684 · PERTH AMBOY, NJ 08861 · Pharmacy · NPI assigned 10/10/2014
| Authorized Official | SOOD, MOHIT (MEMBER) |
| NPI Enumeration Date | 10/10/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $80.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 13 | 13 | $80.00 |