NPI: 1942312897 · FREDONIA, KS 66736 · Pharmacy · NPI assigned 08/31/2006
| Authorized Official | EDWARDS, JACOB (MANAGER) |
| NPI Enumeration Date | 08/31/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $114.59 |
| 2019 | 18 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 35 | 25 | $114.59 |