NPI: 1477627768 · WHITWELL, TN 37397 · Pharmacy · NPI assigned 11/20/2006
| Authorized Official | STANDEFER, JACOB (OWNER/ PHARMACIST) |
| NPI Enumeration Date | 11/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $47.19 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 13 | 12 | $47.19 |