NPI: 1932237864 · WAYNE, MI 48184 · Community/Retail Pharmacy · NPI assigned 03/01/2007
| Authorized Official | ISMAIL, HASSAN (OWNER) |
| NPI Enumeration Date | 03/01/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29 | $141.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 29 | 28 | $141.40 |