NPI: 1083711824 · STUARTS DRAFT, VA 24477 · Pharmacy · NPI assigned 09/20/2006
| Authorized Official | HUMPHREYS, MARTY (MANAGER) |
| NPI Enumeration Date | 09/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 34 | $64.88 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 34 | 25 | $64.88 |