NPI: 1639372055 · GLENWOOD, IA 51534 · Community/Retail Pharmacy · NPI assigned 06/06/2007
| Authorized Official | NIKSERESHT, MASOODE (OWNER) |
| NPI Enumeration Date | 06/06/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $187.39 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 13 | 13 | $187.39 |