NPI: 1255340659 · GRENADA, MS 38901 · Community/Retail Pharmacy · NPI assigned 08/05/2006
| Authorized Official | MARASCALCO, FRANK (OWNER) |
| NPI Enumeration Date | 08/05/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $123.13 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 28 | 24 | $123.13 |