NPI: 1942482104 · SAN BERNARDINO, CA 92401 · Community/Retail Pharmacy · NPI assigned 11/29/2007
| Authorized Official | STEPHENS, ALVIN (PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 11/29/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 31 | $3K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 99606 | 31 | 25 | $3K |