NPI 1235394206
Diabetes Store, Incorporated
Practice location
- Address
- 7165 Swinnea Rd B-2, Southaven, MS 38671-6360
- Phone
- (662) 280-5533
- Fax
- (800) 208-0863
- Mailing address
- 1760 Moriah Woods Blvd Suite 2, Memphis, TN 38117-7128
Authorised official
- Name
- Craig Brosseau
- Title
- Secretary
- Phone
- (952) 646-3255
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1235394206
- Entity type
- Organization
- NPI issued
- 18 Jul 2008
- Record last updated
- 11 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.