NPI: 1174683999 · NEWARK, NJ 07106 · Pharmacy · NPI assigned 12/11/2006
| Authorized Official | DATWANI, GHANSHAM (PRESIDENT PHARMACIST) |
| NPI Enumeration Date | 12/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0013A | 13 | 13 | $0.00 |