NPI: 1821159989 · BARSTOW, CA 92311 · Community/Retail Pharmacy · NPI assigned 12/13/2006
| Authorized Official | VALIVETI, BRAHMAJI (PRESIDENT) |
| NPI Enumeration Date | 12/13/2006 |
Other providers sharing the same authorized official: VALIVETI, BRAHMAJI
| Provider | City | State | Total Paid |
|---|---|---|---|
| RELIANCE IMPERIAL PHARMACY LLC | CALEXICO | CA | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 30 | $94.88 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 30 | 30 | $94.88 |