NPI: 1063527216 · EL CAJON, CA 92020 · Community/Retail Pharmacy · NPI assigned 08/20/2006
| Authorized Official | NUDO, P J (OWNER) |
| NPI Enumeration Date | 08/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 16 | $46.59 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 16 | 16 | $46.59 |