NPI: 1144321084 · WICHITA, KS 67211 · Pharmacy · NPI assigned 09/25/2006
| Authorized Official | BERGEN, DAVID (PRESIDENT / PHARMACIST) |
| NPI Enumeration Date | 09/25/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $112.17 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 12 | 12 | $112.17 |