Lifeline Diabetic
NPI #1518086339 in Amory, Mississippi
Provider Information
- NPI Number
- 1518086339
- Entity Type
- Organization
- Organization Name
- Lifeline Diabetic
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Aug 28, 2013
Practice Location
- Address
- 201 3RD AVE N
- Address 2
- SUITE 1
- City
- Amory
- State
- Mississippi
- ZIP Code
- 38821-3413
- Phone
- (662) 597-9200
Authorized Official
- Name
- MERRI SANDERSON
- Title
- OWNER
- Phone
- (662) 597-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Mail Order Pharmacy — Mail Order Pharmacy |
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
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