NPI: 1497809156 · IUKA, MS 38852 · Community/Retail Pharmacy · NPI assigned 01/22/2007
| Authorized Official | BURNS, BEN (PRESIDENT) |
| NPI Enumeration Date | 01/22/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $51.58 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 12 | 12 | $51.58 |