NPI: 1821162280 · ST CLAIR, MO 63077 · Long Term Care Pharmacy · NPI assigned 11/20/2006
| Authorized Official | HINTERLONG, MARTIN (OWNER) |
| NPI Enumeration Date | 11/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $0.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 12 | 12 | $0.00 |