NPI: 1215446505 · PHILADELPHIA, PA 19123 · Community/Retail Pharmacy · NPI assigned 09/29/2017
| Authorized Official | CLARK, BRIAN (CEO) |
| NPI Enumeration Date | 09/29/2017 |
Other providers sharing the same authorized official: CLARK, BRIAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| CITY OF NEW CASTLE | NEW CASTLE | IN | $2.46M |
| NEW ENGLAND REPRODUCTIVE MEDICINE AND SURGERY LLC | MILLBURY | MA | $8K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 891 | $344K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90378 | 891 | 250 | $344K |