NPI: 1013014935 · SALISBURY, MD 21801 · Pharmacy · NPI assigned 09/20/2006
| Authorized Official | RAYATHATHA, SANJAY (MEMBER/OWNER) |
| NPI Enumeration Date | 09/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 89 | $117.20 |
| 2019 | 76 | $106.84 |
| 2020 | 67 | $263.26 |
| 2021 | 131 | $798.28 |
| 2022 | 29 | $143.41 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 392 | 356 | $1K |