NPI: 1528028388 · AIEA, HI 96701 · Pharmacy · NPI assigned 03/24/2006
| Authorized Official | GREGORY, MARK (PRESIDENT) |
| NPI Enumeration Date | 03/24/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J3490 | Unclassified drugs | 15 | 14 | $2K |