NPI: 1780958744 · GREENVILLE, SC 29607 · Pharmacy · NPI assigned 03/08/2012
| Authorized Official | MONTANEZ, ELVIN (COO) |
| NPI Enumeration Date | 03/08/2012 |
Other providers sharing the same authorized official: MONTANEZ, ELVIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| RAINA RX LLC | NEWBURGH | NY | $78K |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | ALTAMONTE SPRINGS | FL | $58K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 16 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 16 | 16 | $9K |