NPI: 1619255544 · NIPOMO, CA 93444 · Community/Retail Pharmacy · NPI assigned 07/26/2011
| Authorized Official | ROUZITALAB, GHOLAM (VICE PRESIDENT) |
| NPI Enumeration Date | 07/26/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $48.16 |
| 2019 | 13 | $48.22 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 38 | 36 | $96.38 |