NPI: 1255615381 · TAVARES, FL 32778 · Pharmacy · NPI assigned 10/07/2011
| Authorized Official | ANWAR, MD (PHARMACIST-IN-CHARGE) |
| NPI Enumeration Date | 10/07/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 24 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0004A | 24 | 24 | $0.00 |