NPI: 1396744496 · PLYMOUTH, IN 46563 · Pharmacy · NPI assigned 07/20/2005
| Authorized Official | BURGESS, JESSICA (SECRETARY) |
| NPI Enumeration Date | 07/20/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 13 | 12 | $0.00 |