NPI: 1669541777 · WASHINGTON, DC 20002 · Community/Retail Pharmacy · NPI assigned 11/06/2006
| Authorized Official | FATUKASI, OMOLOLU (PHARMACY MANAGER) |
| NPI Enumeration Date | 11/06/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 241 | $0.28 |
| 2019 | 131 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 372 | 358 | $0.28 |