NPI: 1851432983 · HOBOKEN, NJ 07030 · Pharmacy · NPI assigned 02/10/2007
| Authorized Official | ASHAMALLA, ASHRAF (PRESIDENT) |
| NPI Enumeration Date | 02/10/2007 |
Other providers sharing the same authorized official: ASHAMALLA, ASHRAF
| Provider | City | State | Total Paid |
|---|---|---|---|
| VITALIS DRUGS LLC | JERSEY CITY | NJ | $431.77 |
| HEALTHY LIFE PHARMACY CORP | BAYONNE | NJ | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 12 | 12 | $0.00 |