NPI: 1770886582 · LAS VEGAS, NV 89120 · Long Term Care Pharmacy · NPI assigned 12/16/2010
| Authorized Official | SCHACKEL, LAURA (OWNER/PHARMACY MANAGER) |
| NPI Enumeration Date | 12/16/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 175 | $4K |
| 2019 | 54 | $860.59 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4542 | Incontinence product, disposable underpad, small size, each | 229 | 188 | $5K |