NPI: 1700268901 · WEST MILWAUKEE, WI 53214 · Pharmacy · NPI assigned 06/24/2015
| Authorized Official | GINDI, MAGED (CEO) |
| NPI Enumeration Date | 06/24/2015 |
Other providers sharing the same authorized official: GINDI, MAGED
| Provider | City | State | Total Paid |
|---|---|---|---|
| SAINT PAUL ENTERPRISES INC | GLENDORA | CA | $3.65M |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 229 | $8K |
| 2022 | 360 | $13K |