NPI: 1588761696 · GARDNER, KS 66030 · Pharmacist · NPI assigned 09/20/2006
| Authorized Official | BOYAJIAN, SAM (OWNER) |
| NPI Enumeration Date | 09/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0009 | Administration of pneumococcal vaccine | 12 | 12 | $0.00 |