Heartland Diabetic Supplies LLC
NPI #1396830980 in Overland Park, Kansas
Provider Information
- NPI Number
- 1396830980
- Entity Type
- Organization
- Organization Name
- Heartland Diabetic Supplies LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 10703 W. 149TH STREET
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66221
- Phone
- (913) 538-7582
Authorized Official
- Name
- MS. LORA LYNN MORA
- Title
- OWNER
- Phone
- (913) 538-7582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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