NPI: 1609937531 · WARSAW, NY 14569 · Community/Retail Pharmacy · NPI assigned 12/13/2006
| Authorized Official | RUTOWSKI, JAMES (SUPERVISING PHARMACIST) |
| NPI Enumeration Date | 12/13/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $84.53 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 12 | 12 | $84.53 |