NPI: 1235626557 · BROOKLYN, NY 11211 · Pharmacy · NPI assigned 04/23/2018
| Authorized Official | MULLOKANDOV, AVITAL (PRESIDENT) |
| NPI Enumeration Date | 04/23/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 94 | $2K |
| 2020 | 91 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4259 | Lancets, per box of 100 | 185 | 183 | $3K |