NPI: 1689676074 · JEWETT CITY, CT 06351 · Compounding Pharmacy · NPI assigned 08/15/2005
| Authorized Official | KOMARI, TONY (OWNER/PRESIDENT/PIC/AO) |
| NPI Enumeration Date | 08/15/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 61 | $3K |
| 2019 | 13 | $723.86 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 74 | 65 | $3K |