NPI: 1730579756 · SHERMAN OAKS, CA 91423 · Pharmacy · NPI assigned 01/29/2015
| Authorized Official | MELKONYAN, MILENA (PRESIDENT/CEO) |
| NPI Enumeration Date | 01/29/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $114.39 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 17 | 12 | $114.39 |