NPI: 1306943147 · LOUISVILLE, KY 40213 · Pharmacy · NPI assigned 09/20/2006
| Authorized Official | ULLOM, TRACI (OWNER) |
| NPI Enumeration Date | 09/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $84.85 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 13 | 12 | $84.85 |