NPI: 1366409286 · GLENDALE, CA 91204 · Community/Retail Pharmacy · NPI assigned 04/26/2006
| Authorized Official | ARUTYUNYAN, ARSEN (GENERAL MANAGER) |
| NPI Enumeration Date | 04/26/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 650 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 173 | 173 | $11K |
| T4541 | Incontinence product, disposable underpad, large, each | 173 | 173 | $9K |
| T4536 | Incontinence product, protective underwear/pull-on, reusable, any size, each | 173 | 173 | $2K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | 131 | 131 | $65.01 |