NPI: 1184628117 · MOUNT GAY, WV 25637 · Pharmacy · NPI assigned 06/08/2005
| Authorized Official | CLAYCOMB, EARL (RPH) |
| NPI Enumeration Date | 06/08/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $139.87 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 14 | 14 | $139.87 |