NPI: 1669728176 · WESLEY CHAPEL, FL 33544 · Community/Retail Pharmacy · NPI assigned 08/02/2012
| Authorized Official | PATEL, MANANKUMAR (PHARMACY DEPARTMENT MANAGER) |
| NPI Enumeration Date | 08/02/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $38.88 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0004A | 14 | 12 | $38.88 |