OLD ROSWELL HOLDINGS LLC
NPI: 1083722151
· BINGHAMTON, NY 13903
· Pharmacy
· NPI assigned 08/28/2006
Provider Details
| Authorized Official | EDEN, TRACY (MANAGER) |
| NPI Enumeration Date | 08/28/2006 |
Related Entities
Other providers sharing the same authorized official: EDEN, TRACY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$636.12 |
| 2024 |
18 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
30 |
30 |
$2K |