NPI: 1174578124 · RENO, NV 89523 · Pharmacy · NPI assigned 05/24/2006
| Authorized Official | AVERA, TAMARA (OFFICE MANAGER) |
| NPI Enumeration Date | 05/24/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 57 | $2K |
| 2024 | 186 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4541 | Incontinence product, disposable underpad, large, each | 243 | 199 | $7K |