NPI: 1538334149 · PHILADELPHIA, PA 19154 · Pharmacy · NPI assigned 04/24/2008
| Authorized Official | RALSTON, JOSEPH (MANAGER) |
| NPI Enumeration Date | 04/24/2008 |
Other providers sharing the same authorized official: RALSTON, JOSEPH
| Provider | City | State | Total Paid |
|---|---|---|---|
| ACADEMY PHARMACY LLC | PHILADELPHIA | PA | $30K |
| NEFF DRUGS 22 LLC | HOLLAND | PA | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 117 | $4K |
| 2022 | 21 | $520.00 |