NPI: 1821426321 · PORT EWEN, NY 12466 · Long Term Care Pharmacy · NPI assigned 10/17/2013
| Authorized Official | ADUSUMILLI, VINAY (MANAGER) |
| NPI Enumeration Date | 10/17/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 27 | $84.88 |
| 2021 | 14 | $56.59 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 41 | 41 | $141.47 |