NPI: 1962403568 · WEST HOLLYWOOD, CA 90046 · Pharmacy · NPI assigned 08/03/2005
| Authorized Official | KONOPOV, ALEXANDER (PRESIDENT/CEO/SECRETARY/DIR) |
| NPI Enumeration Date | 08/03/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23 | $21.72 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 23 | 13 | $21.72 |