NPI: 1659443448 · MOBERLY, MO 65270 · Pharmacy · NPI assigned 11/15/2006
| Authorized Official | KRIBBS, GARY (THIRD PARTY PLAN COORDINATOR) |
| NPI Enumeration Date | 11/15/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $25.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 12 | 12 | $25.16 |