NPI: 1104933795 · BRONX, NY 10454 · Pharmacy · NPI assigned 08/23/2006
| Authorized Official | SHAH, PARTHIV (SP) |
| NPI Enumeration Date | 08/23/2006 |
Other providers sharing the same authorized official: SHAH, PARTHIV
| Provider | City | State | Total Paid |
|---|---|---|---|
| MEDICAL MALL RX INC | TOMS RIVER | NJ | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $380.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0031A | 15 | 15 | $380.00 |