NPI: 1245318658 · KEESEVILLE, NY 12944 · Compounding Pharmacy · NPI assigned 11/02/2006
| Authorized Official | BOSLEY, DANIEL (SUPV PHRM) |
| NPI Enumeration Date | 11/02/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $39.91 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 13 | 12 | $39.91 |