NPI: 1912044538 · LUCASVILLE, OH 45648 · Community/Retail Pharmacy · NPI assigned 01/31/2007
| Authorized Official | HILL, BRETT (PHARMACY MANAGER) |
| NPI Enumeration Date | 01/31/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 66 | $168.57 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 66 | 65 | $168.57 |