NPI: 1851533863 · TAZEWELL, TN 37879 · Community/Retail Pharmacy · NPI assigned 04/06/2009
| Authorized Official | RABY, BENNY (PIC) |
| NPI Enumeration Date | 04/06/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 12 | 12 | $0.00 |