NPI: 1144240904 · CORCORAN, CA 93212 · Pharmacy · NPI assigned 07/21/2006
| Authorized Official | HII, AHLET (CFO, AO) |
| NPI Enumeration Date | 07/21/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 40 | $0.00 |
| 2023 | 64 | $0.00 |
| 2024 | 87 | $8.58 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 191 | 172 | $8.58 |