NPI: 1083644819 · SUCCASUNNA, NJ 07876 · Community/Retail Pharmacy · NPI assigned 07/04/2006
| Authorized Official | MADDALI, ANNAPURNA (PRESIDENT) |
| NPI Enumeration Date | 07/04/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 15 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 15 | 12 | $0.00 |