NPI: 1407907488 · LA JUNTA, CO 81050 · Pharmacy · NPI assigned 01/16/2007
| Authorized Official | VASQUEZ, EDWARD (PRESIDENT) |
| NPI Enumeration Date | 01/16/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 201 | $886.38 |
| 2019 | 160 | $655.53 |
| 2020 | 43 | $361.05 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 404 | 380 | $2K |