NPI: 1750410536 · ROSWELL, NM 88201 · Community/Retail Pharmacy · NPI assigned 03/05/2007
| Authorized Official | PURSER, TIM (DIRECTOR OF PHARMACY) |
| NPI Enumeration Date | 03/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $15.69 |
| 2021 | 12 | $33.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 25 | 24 | $48.81 |