RELIANCE IMPERIAL PHARMACY LLC
NPI: 1487912333
· CALEXICO, CA 92231
· Pharmacy
· NPI assigned 04/29/2012
Provider Details
Related Entities
Other providers sharing the same authorized official: VALIVETI, BRAHMAJI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
170 |
$0.00 |
| 2023 |
215 |
$43.80 |
| 2024 |
283 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
411 |
408 |
$1K |
| A4259 |
Lancets, per box of 100 |
210 |
210 |
$53.45 |
| 90686 |
|
18 |
18 |
$43.80 |
| 90694 |
|
29 |
29 |
$0.00 |