NPI: 1336142058 · BALTIMORE, MD 21201 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/27/2005
| Authorized Official | WIENNER, STEPHEN (PRESIDENT) |
| NPI Enumeration Date | 05/27/2005 |
Other providers sharing the same authorized official: WIENNER, STEPHEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| MT VERNON PHARMACY AT FALLSWAY INC | BALTIMORE | MD | $5K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $58.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 14 | 12 | $58.60 |