OLD ROSWELL HOLDINGS LLC
NPI: 1124136296
· BINGHAMTON, NY 13903
· Long Term Care 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 |
245 |
$19K |
| 2020 |
12 |
$71.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4100 |
Food thickener, administered orally, per ounce |
245 |
195 |
$19K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12 |
12 |
$71.55 |