NPI: 1720556962 · HUMBLE, TX 77338 · Community/Retail Pharmacy · NPI assigned 11/06/2018
| Authorized Official | RIOS, RICARDO (OFFICER) |
| NPI Enumeration Date | 11/06/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 763 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 763 | 642 | $4K |