NPI: 1659377133 · CONCORD, NH 03301 · Community/Retail Pharmacy · NPI assigned 06/21/2005
| Authorized Official | FANARAS, CHARLES (PRESIDENT) |
| NPI Enumeration Date | 06/21/2005 |
Other providers sharing the same authorized official: FANARAS, CHARLES
| Provider | City | State | Total Paid |
|---|---|---|---|
| FANARAS ENTERPRISES | CONCORD | NH | $1.51M |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 26 | $13K |
| 2020 | 36 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 62 | 54 | $31K |