NPI: 1316267487 · DYERSBURG, TN 38024 · Community/Retail Pharmacy · NPI assigned 06/10/2010
| Authorized Official | COLBERT, CURTIS (OWNER) |
| NPI Enumeration Date | 06/10/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 429 | $1K |
| 2019 | 63 | $323.57 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 325 | 320 | $691.21 |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 114 | 109 | $633.60 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 29 | 28 | $5.52 |
| A4259 | Lancets, per box of 100 | 24 | 24 | $1.70 |