NPI: 1043728694 · BRENTWOOD, CA 94513 · Community/Retail Pharmacy · NPI assigned 01/17/2018
| Authorized Official | RAHMAN, AATIKA (CEO) |
| NPI Enumeration Date | 01/17/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 27 | $2K |
| 2023 | 13 | $800.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4541 | Incontinence product, disposable underpad, large, each | 40 | 40 | $2K |