NPI: 1548351182 · BRONX, NY 10456 · Community/Retail Pharmacy · NPI assigned 09/27/2006
| Authorized Official | BOMMAREDDY, RAMAMOHANA (PRESIDENT) |
| NPI Enumeration Date | 09/27/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 30 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4215 | Needle, sterile, any size, each | 30 | 26 | $1K |