NPI: 1659413110 · CHEWELAH, WA 99109 · Pharmacy · NPI assigned 02/13/2007
| Authorized Official | HERDA, KEVIN (OWNER) |
| NPI Enumeration Date | 02/13/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 153 | $549.74 |
| 2019 | 97 | $362.77 |
| 2020 | 42 | $176.63 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 292 | 285 | $1K |