NPI: 1912220906 · SHELTON, CT 06484 · Pharmacy · NPI assigned 03/05/2010
| Authorized Official | FIGUEROA RIVERA, MELISSA (THIRD PARTY ADMINISTRATOR) |
| NPI Enumeration Date | 03/05/2010 |
Other providers sharing the same authorized official: FIGUEROA RIVERA, MELISSA
| Provider | City | State | Total Paid |
|---|---|---|---|
| VILLAGE SUPER MARKET OF NJ LP | RIO GRANDE | NJ | $0.00 |
| SAKER SHOPRITES INC | HOWELL | NJ | $0.00 |
| BERAT CORPORATION | CLEMENTON | NJ | $0.00 |
| BERAT CORPORATION | WILLIAMSTOWN | NJ | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 31 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0124A | 31 | 31 | $0.00 |