NPI: 1538210414 · DEARBORN, MI 48126 · Community/Retail Pharmacy · NPI assigned 01/16/2007
| Authorized Official | FAWAZ, LEILA (OWNER) |
| NPI Enumeration Date | 01/16/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $28.26 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 13 | 13 | $28.26 |