NPI: 1881953594 · OMAK, WA 98841 · Pharmacist · NPI assigned 05/15/2012
| Authorized Official | GAJJALA, UMESH (OPERATIONS MANAGER) |
| NPI Enumeration Date | 05/15/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $0.00 |
| 2019 | 13 | $0.00 |
| 2020 | 24 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 63 | 61 | $0.00 |