NPI: 1841966793 · LITTLE NECK, NY 11362 · Community/Retail Pharmacy · NPI assigned 08/20/2021
| Authorized Official | ZAVULUNOV, STANISLAV (PRESIDENT) |
| NPI Enumeration Date | 08/20/2021 |
Other providers sharing the same authorized official: ZAVULUNOV, STANISLAV
| Provider | City | State | Total Paid |
|---|---|---|---|
| LAKE SUCCESS RX CORP | NEW HYDE PARK | NY | $466.32 |
| HCOR SPECIALTY PHARMACY LLC | FOREST HILLS | NY | $45.75 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 167 | $98.77 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0570 | Nebulizer, with compressor | 167 | 164 | $98.77 |