NPI: 1720358344 · DUNMORE, PA 18512 · Pharmacy · NPI assigned 01/12/2012
| Authorized Official | DEPIETRO, THOMAS (PHARMACY MANAGER/OWNER) |
| NPI Enumeration Date | 01/12/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 32 | $3K |
| 2020 | 36 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 68 | 67 | $6K |