NPI: 1558622167 · HAMTRAMCK, MI 48212 · Community/Retail Pharmacy · NPI assigned 05/31/2012
| Authorized Official | DARWICH, ALI (OWNER) |
| NPI Enumeration Date | 05/31/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $600.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99605 | 12 | 12 | $600.00 |