NPI: 1982793592 · ROCHESTER, MN 55901 · Pharmacy · NPI assigned 10/12/2006
| Authorized Official | HANSON, WADE (MANAGER) |
| NPI Enumeration Date | 10/12/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 151 | $825.91 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 151 | 140 | $825.91 |