NPI: 1720009772 · PICAYUNE, MS 39466 · Community/Retail Pharmacy · NPI assigned 07/22/2006
| Authorized Official | PISARICH, STEPHEN (PHARMACIST) |
| NPI Enumeration Date | 07/22/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 82 | $452.88 |
| 2019 | 29 | $70.47 |
| 2020 | 64 | $300.39 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 175 | 170 | $823.74 |