NPI: 1821106287 · MUSKEGON, MI 49442 · Community/Retail Pharmacy · NPI assigned 08/27/2006
| Authorized Official | DAHLQUIST, RANDOLPH (PRESIDENT) |
| NPI Enumeration Date | 08/27/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 53 | $346.66 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 53 | 50 | $346.66 |