NPI: 1770077968 · CLIFTON, NJ 07011 · Pharmacy · NPI assigned 06/20/2018
| Authorized Official | ALJETAWI, ABDULRAHMAN (OWNER) |
| NPI Enumeration Date | 06/20/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $40.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0064A | 14 | 14 | $40.00 |