NPI: 1134140106 · NEW YORK, NY 10034 · Pharmacy · NPI assigned 07/22/2006
| Authorized Official | PAGANO, SALVATORE (VP) |
| NPI Enumeration Date | 07/22/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 12 | 12 | $1K |