NPI: 1548487770 · LAWTON, OK 73505 · Community/Retail Pharmacy · NPI assigned 04/19/2007
| Authorized Official | WOODSON, DARRELL (PHARMACIST) |
| NPI Enumeration Date | 04/19/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $7.94 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 12 | 12 | $7.94 |