NPI: 1124116553 · LEBANON, VA 24266 · Pharmacy · NPI assigned 10/11/2006
| Authorized Official | WIMMER, JEFF (OWNER) |
| NPI Enumeration Date | 10/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27 | $81.54 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 27 | 24 | $81.54 |