NPI 1396830980

Heartland Diabetic Supplies LLC

Organisation Non-Pharmacy Dispensing Site Overland Park, KS

Practice location

Address: 10703 W. 149th Street, Overland Park, KS 66221
Phone: (913) 538-7582
Fax: (913) 897-7709

Authorised official

Name: Lora Lynn Mora
Title: Owner
Phone: (913) 538-7582

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 6-00316 (KS)

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Registry record

NPI: 1396830980
Entity type: Organization
NPI issued: 3 Oct 2006
Record last updated: 21 Jul 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.