NPI: 1063156396 · IRVING, TX 75038 · Community/Retail Pharmacy · NPI assigned 04/22/2022
| Authorized Official | JILLELLA, HIMABINDU (DIRECTOR) |
| NPI Enumeration Date | 04/22/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 119 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 119 | 119 | $0.00 |