NPI: 1861046658 · HARTFORD, CT 06114 · Community/Retail Pharmacy · NPI assigned 07/30/2019
| Authorized Official | KOLLU, VIJAYA (MANAGING MEMBER) |
| NPI Enumeration Date | 07/30/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 24 | $942.00 |
| 2020 | 256 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 280 | 133 | $9K |