NPI: 1255537064 · SALEM, AR 72576 · Community/Retail Pharmacy · NPI assigned 06/27/2007
| Authorized Official | LESLIE, TIM (PRESIDENT) |
| NPI Enumeration Date | 06/27/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 95 | $1K |
| 2019 | 27 | $355.96 |
| 2020 | 14 | $212.43 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 136 | 133 | $2K |