NPI: 1154312254 · CLEARLAKE, CA 95422 · Community/Retail Pharmacy · NPI assigned 10/30/2005
| Authorized Official | GREWAL, GURINDER (PRESIDENT) |
| NPI Enumeration Date | 10/30/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 58 | $103.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 58 | 41 | $103.75 |