NPI: 1407833122 · JERSEY CITY, NJ 07307 · Community/Retail Pharmacy · NPI assigned 12/22/2005
| Authorized Official | TAN, DAVE (PRESIDENT) |
| NPI Enumeration Date | 12/22/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $710.97 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0570 | Nebulizer, with compressor | 13 | 12 | $710.97 |