NPI: 1932194578 · MOODUS, CT 06469 · Pharmacy · NPI assigned 09/20/2005
| Authorized Official | HERMAN, JACK (PRESIDENT) |
| NPI Enumeration Date | 09/20/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 222 | $3K |
| 2019 | 656 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4927 | Gloves, non-sterile, per 100 | 878 | 829 | $15K |