NPI: 1790076610 · PHILADELPHIA, PA 19116 · Community/Retail Pharmacy · NPI assigned 04/26/2011
| Authorized Official | KOGAN, GARY (PHARMACIST) |
| NPI Enumeration Date | 04/26/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 48 | $93.78 |
| 2023 | 246 | $190.48 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 294 | 271 | $284.26 |