NPI: 1992713283 · NORTH BERGEN, NJ 07047 · Pharmacy · NPI assigned 08/03/2006
| Authorized Official | MADDALI, PRAKASH (PRESIDENT) |
| NPI Enumeration Date | 08/03/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 13 | 13 | $0.00 |