NORWALK PHARMACY LLC
NPI: 1134445810
· NORWALK, CT 06851
· Durable Medical Equipment & Medical Supplies
· NPI assigned 04/20/2010
$206.80
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, KENNETH (PHARMACY MANAGER) |
| NPI Enumeration Date | 04/20/2010 |
Related Entities
Other providers sharing the same authorized official: LEE, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
15 |
$206.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
15 |
13 |
$206.80 |