NPI: 1922479716 · CLAREMONT, CA 91711 · Pharmacy · NPI assigned 10/19/2015
| Authorized Official | HO, NIKKI (PIC PRESIDENT/CEO OWNER) |
| NPI Enumeration Date | 10/19/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $81.82 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90653 | 12 | 12 | $81.82 |