NPI: 1154490878 · FRESNO, CA 93702 · Community/Retail Pharmacy · NPI assigned 11/07/2006
| Authorized Official | WINTON, JAMES (VP PHARMACIST) |
| NPI Enumeration Date | 11/07/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 90 | $8K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 90 | 90 | $8K |