NPI: 1841212966 · MANCHESTER, IA 52057 · Pharmacy · NPI assigned 07/25/2006
| Authorized Official | KALLENBACH, JONATHAN (OWNER-PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 07/25/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 70 | $1K |
| 2020 | 118 | $3K |
| 2021 | 13 | $396.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 201 | 169 | $5K |