The Diabetes Store, Inc

NPI 1235394206 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1235394206
Enumeration Date 07/18/2008
Last Updated 03/23/2016
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHARLOTTE CHARLOTTE
Position PRESIDENT/OWNER
Phone (662) 280-5533
Fax (662) 280-5009
Practice Location
7165 SWINNEA RD
B-2
SOUTHAVEN MS, 38671-6360, US
Phone (662) 280-5533
Fax (662) 280-5009
Business Location
1760 MORIAH WOODS BLVD
SUITE 2
MEMPHIS TN, 38117-7128, US
Phone (901) 312-3150
Fax (901) 312-3152
Toxanomy
Taxonomy Code 332B00000X
License State Mississippi
License Number 07761
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According to our database, The Diabetes Store, Inc NPI is 1235394206, taxonomy code is 332B00000X and license number is 07761, license state is located at Mississippi. The Diabetes Store, Inc physically located at 7165 Swinnea Rd, Southaven MS, 38671-6360. NPI Number 1033115704 has the healthcare provider type.

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1235394206 NPI number is provided on an as is basis without warranty of any kind. 1235394206 is maintained by the National Plan & Provider Enumeration System. The contents of The Diabetes Store, Inc are for informational purposes only.