NPI: 1578754701 · MONETT, MO 65708 · Community/Retail Pharmacy · NPI assigned 08/05/2007
| Authorized Official | BECKER, SHANE (OWNER/MANAGER/PIC) |
| NPI Enumeration Date | 08/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $45.65 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 12 | 12 | $45.65 |