Diabetes Store, Incorporated
NPI #1235394206 in Southaven, Mississippi
Provider Information
- NPI Number
- 1235394206
- Entity Type
- Organization
- Organization Name
- Diabetes Store, Incorporated
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 18, 2008
- Last Updated
- Nov 11, 2022
Practice Location
- Address
- 7165 SWINNEA RD
- Address 2
- B-2
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-6360
- Phone
- (662) 280-5533
Authorized Official
- Name
- CRAIG BROSSEAU
- Title
- SECRETARY
- Phone
- (952) 646-3255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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