NPI: 1497769491 · STEVENSON, AL 35772 · Community/Retail Pharmacy · NPI assigned 07/28/2006
| Authorized Official | KILGORE, LOTHA (OWNER) |
| NPI Enumeration Date | 07/28/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 262 | $3K |
| 2019 | 143 | $407.30 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 405 | 390 | $4K |