NPI: 1669493664 · YPSILANTI, MI 48198 · Pharmacy · NPI assigned 07/22/2006
| Authorized Official | LEDESMA, EJ (PRESIDENT) |
| NPI Enumeration Date | 07/22/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 16 | $744.45 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 16 | 16 | $744.45 |