NPI: 1194764167 · PRINCETON, WV 24740 · Pharmacy · NPI assigned 06/05/2006
| Authorized Official | HICKMAN, JOHN (PIC) |
| NPI Enumeration Date | 06/05/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $36.62 |
| 2019 | 102 | $444.31 |
| 2020 | 100 | $381.10 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 215 | 204 | $862.03 |