SAI COOPERS LLC
NPI: 1962417592
· VASS, NC 28394
· Community/Retail Pharmacy
· NPI assigned 07/30/2006
$159.26
Total Medicaid Paid
Provider Details
| Authorized Official | CHALLA, PRAVEEN (PHARMACIST) |
| NPI Enumeration Date | 07/30/2006 |
Related Entities
Other providers sharing the same authorized official: CHALLA, PRAVEEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31 |
$159.26 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
31 |
31 |
$159.26 |