NPI: 1881007474 · ROCHESTER, NY 14608 · Pharmacy · NPI assigned 06/11/2014
| Authorized Official | HABIB, KHALID (PHARMACY MANAGER/ PHARMACIST) |
| NPI Enumeration Date | 06/11/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 37 | $5K |
| 2021 | 14 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 51 | 50 | $7K |