NPI: 1265573992 · DES MOINES, IA 50314 · Pharmacy · NPI assigned 02/08/2007
| Authorized Official | CASSADY, DONALD (OWNER, PRESIDENT) |
| NPI Enumeration Date | 02/08/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $115.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 28 | 24 | $115.12 |