NPI: 1134163256 · WASHINGTON, IN 47501 · Community/Retail Pharmacy · NPI assigned 06/16/2006
| Authorized Official | HOLLAND, KENNETH (OWNER) |
| NPI Enumeration Date | 06/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27 | $48.26 |
| 2019 | 65 | $144.76 |
| 2020 | 27 | $148.10 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 119 | 65 | $341.12 |