NPI: 1316029184 · WENDELL, ID 83355 · Long Term Care Pharmacy · NPI assigned 10/20/2006
| Authorized Official | WADSWORTH, THOMAS (OWNER/MANAGER) |
| NPI Enumeration Date | 10/20/2006 |
Other providers sharing the same authorized official: WADSWORTH, THOMAS
| Provider | City | State | Total Paid |
|---|---|---|---|
| T2 APOTHECARY | TWIN FALLS | ID | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $424.54 |
| 2019 | 14 | $105.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 40 | 37 | $530.50 |