NPI: 1285670083 · HENDERSON, TN 38340 · Pharmacy · NPI assigned 06/21/2006
| Authorized Official | STEWART, DERYL (PRESIDENT) |
| NPI Enumeration Date | 06/21/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 24 | $32.02 |
| 2021 | 13 | $14.49 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 37 | 37 | $46.51 |