NPI: 1275630105 · PORTSMOUTH, VA 23707 · Pharmacy · NPI assigned 09/20/2006
| Authorized Official | GOTTIPATI, SRIDHAR (OFFICER) |
| NPI Enumeration Date | 09/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $15.77 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 14 | 13 | $15.77 |