NPI: 1881233187 · SPRING VALLEY, CA 91978 · Pharmacy · NPI assigned 01/03/2020
| Authorized Official | NGUYEN, VINCENT (PRESIDENT) |
| NPI Enumeration Date | 01/03/2020 |
Other providers sharing the same authorized official: NGUYEN, VINCENT
| Provider | City | State | Total Paid |
|---|---|---|---|
| BROADWAY PHARMACY CORPORATION | LEMON GROVE | CA | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 49 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0031A | 49 | 49 | $2K |