NPI: 1477904449 · PHILADELPHIA, PA 19139 · Clinic Pharmacy · NPI assigned 06/30/2016
| Authorized Official | DEVENNY, ELISSA (PHARMACY MANAGER) |
| NPI Enumeration Date | 06/30/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 28 | $0.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 0004A | 28 | 28 | $0.00 |