NPI: 1831263193 · LOS BANOS, CA 93635 · Pharmacy · NPI assigned 11/20/2006
| Authorized Official | HARTSOCH, MEL (PHARMACIST) |
| NPI Enumeration Date | 11/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $44.93 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 15 | 12 | $44.93 |