NPI: 1558740209 · PORT CHARLOTTE, FL 33948 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/28/2015
| Authorized Official | BANJARA, NIRAJ (PHARMACY MANAGER) |
| NPI Enumeration Date | 05/28/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 72 | $0.00 |
| 2022 | 37 | $0.00 |