NPI: 1194839183 · POPLARVILLE, MS 39470 · Long Term Care Pharmacy · NPI assigned 08/18/2006
| Authorized Official | BOONE, LARRY (PRES) |
| NPI Enumeration Date | 08/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $69.04 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 17 | 14 | $69.04 |