STOP AND SHOP SUPERMARKET CO LLC
NPI: 1023043122
· HAMDEN, CT 06514
· Pharmacy
· NPI assigned 07/11/2006
$613.25
Total Medicaid Paid
Provider Details
| Authorized Official | DAYTON, BRAD (DIRECTOR) |
| NPI Enumeration Date | 07/11/2006 |
Related Entities
Other providers sharing the same authorized official: DAYTON, BRAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$613.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
13 |
13 |
$613.25 |