NPI: 1841728003 · NORTH BERGEN, NJ 07047 · Community/Retail Pharmacy · NPI assigned 05/31/2017
| Authorized Official | PATEL, KIRTAN (MEMBER) |
| NPI Enumeration Date | 05/31/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 25 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 25 | 25 | $0.00 |