NPI: 1639124183 · LIBERTY, MS 39645 · Pharmacist · NPI assigned 05/23/2006
| Authorized Official | BLALOCK, RONALD (PRESIDENT/PHARMACIST) |
| NPI Enumeration Date | 05/23/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 49 | $215.52 |
| 2019 | 65 | $245.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 114 | 91 | $461.02 |