NPI: 1538301197 · TULSA, OK 74103 · Pharmacy · NPI assigned 03/28/2009
| Authorized Official | KEITH, ROGER (PRESIDENT) |
| NPI Enumeration Date | 03/28/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 50 | $152.50 |
| 2020 | 29 | $88.45 |
| 2021 | 25 | $106.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 104 | 101 | $347.15 |