NPI: 1073666202 · SIOUX CITY, IA 51103 · Community/Retail Pharmacy · NPI assigned 01/19/2007
| Authorized Official | MALY, CAROLYN (PRESIDENT) |
| NPI Enumeration Date | 01/19/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $10.65 |
| 2019 | 91 | $2K |
| 2020 | 40 | $1K |
| 2021 | 114 | $2K |
| 2022 | 29 | $690.54 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 288 | 265 | $6K |