NPI: 1548339039 · GLENDALE, CA 91205 · Community/Retail Pharmacy · NPI assigned 11/07/2006
| Authorized Official | ISHTOYAN, LUSINE (OWNER) |
| NPI Enumeration Date | 11/07/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 269 | $7K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T4541 | Incontinence product, disposable underpad, large, each | 61 | 60 | $3K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 61 | 60 | $3K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | 49 | 48 | $720.15 |
| T4536 | Incontinence product, protective underwear/pull-on, reusable, any size, each | 49 | 48 | $386.23 |
| A4335 | Incontinence supply; miscellaneous | 49 | 48 | $104.47 |