NPI: 1124112412 · SPRING HOPE, NC 27882 · Pharmacy · NPI assigned 10/03/2006
| Authorized Official | CLONIGER, MARK (PHARMACIST MANAGER) |
| NPI Enumeration Date | 10/03/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 30 | $74.89 |
| 2019 | 12 | $3.33 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 42 | 39 | $78.22 |