ELMORA PHARMACY, INC.
NPI: 1245216597
· ELIZABETH, NJ 07202
· Durable Medical Equipment & Medical Supplies
· NPI assigned 12/19/2005
$502.80
Total Medicaid Paid
Provider Details
| Authorized Official | HERTZ, MICHAEL (OWNER CHIEF PHARMACIST) |
| NPI Enumeration Date | 12/19/2005 |
Related Entities
Other providers sharing the same authorized official: HERTZ, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$502.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4670 |
Automatic blood pressure monitor |
14 |
14 |
$502.80 |