NPI: 1164530531 · HAMTRAMCK, MI 48212 · Community/Retail Pharmacy · NPI assigned 08/27/2006
| Authorized Official | DABAJA, SAMI (PRESIDENT/PHARMACIST) |
| NPI Enumeration Date | 08/27/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 30 | $192.45 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 30 | 30 | $192.45 |