NPI: 1942609904 · BROOKLYN, NY 11236 · Community/Retail Pharmacy · NPI assigned 08/15/2014
| Authorized Official | NARLA, RANGA SANTOSH (MANAGER/SUPERVISING PHARMACIST) |
| NPI Enumeration Date | 08/15/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 25 | $818.30 |
| 2023 | 40 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4554 | Disposable underpads, all sizes | 65 | 61 | $2K |