NPI: 1639237761 · FAYETTEVILLE, TN 37334 · Compounding Pharmacy · NPI assigned 12/04/2006
| Authorized Official | DAMRON, CHARLES (OWNER AND PHARM) |
| NPI Enumeration Date | 12/04/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 116 | $185.77 |
| 2019 | 44 | $172.57 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 160 | 158 | $358.34 |