NPI: 1598235723 · CEDAR RAPIDS, IA 52405 · Community/Retail Pharmacy · NPI assigned 11/30/2018
| Authorized Official | VAN SCHEPEN, KIMBERLY (PHARMACIST/MANAGER) |
| NPI Enumeration Date | 11/30/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $66.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 12 | 12 | $66.56 |