NPI: 1073508271 · BALTIMORE, MD 21229 · Compounding Pharmacy · NPI assigned 09/13/2005
| Authorized Official | BAO, TRIEU (PRESIDENT) |
| NPI Enumeration Date | 09/13/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 26 | $305.43 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 26 | 25 | $305.43 |