NPI: 1104179944 · WISCONSIN RAPIDS, WI 54494 · Long Term Care Pharmacy · NPI assigned 10/17/2012
| Authorized Official | GRUSZYNSKI, JASON (PRESIDENT) |
| NPI Enumeration Date | 10/17/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $376.19 |
| 2021 | 250 | $1K |
| 2023 | 60 | $3K |
| 2024 | 2,111 | $76K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9150 | Non-prescription drugs | 1,782 | 1,474 | $66K |
| S9430 | Pharmacy compounding and dispensing services | 315 | 308 | $9K |
| 91322 | 28 | 19 | $2K | |
| 0002A | 59 | 30 | $726.78 | |
| 0001A | 59 | 30 | $465.87 | |
| A4259 | Lancets, per box of 100 | 14 | 13 | $420.66 |
| 90688 | 15 | 15 | $376.19 | |
| 90686 | 32 | 18 | $149.70 | |
| 91300 | 132 | 101 | $0.00 |