NPI: 1497784441 · EL CENTRO, CA 92243 · Pharmacy · NPI assigned 07/02/2006
| Authorized Official | ELIOPULOS, TIFFANY (ASSISTANT MANAGER, ENROLLMENTS) |
| NPI Enumeration Date | 07/02/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 14 | $39.94 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 14 | 12 | $39.94 |