NPI: 1316374143 · WOODBRIDGE, VA 22192 · Community/Retail Pharmacy · NPI assigned 10/13/2013
| Authorized Official | DARFOUR, DANIEL (OWNER) |
| NPI Enumeration Date | 10/13/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 12 | 12 | $0.00 |