NPI: 1669808945 · SUNNYSIDE, WA 98944 · Pharmacy · NPI assigned 09/19/2013
| Authorized Official | MONOIAN, ANITA (PRESIDENT/CEO) |
| NPI Enumeration Date | 09/19/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $120.00 |
| 2019 | 27 | $270.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 39 | 39 | $390.00 |