NPI: 1427141019 · WILLIAMSBURG, OH 45176 · Community/Retail Pharmacy · NPI assigned 10/02/2006
| Authorized Official | FITZGERALD, GERALD (GM) |
| NPI Enumeration Date | 10/02/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27 | $108.15 |
| 2019 | 16 | $66.55 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 43 | 38 | $174.70 |