NPI: 1326035585 · SANDPOINT, ID 83864 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/03/2005
| Authorized Official | PORTER, SCOTT (PHARMACIST/MANAGER) |
| NPI Enumeration Date | 10/03/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 27 | $133.18 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 27 | 24 | $133.18 |