NPI 1518086339
Lifeline Diabetic
Practice location
- Address
- 201 3rd Ave N Suite 1, Amory, MS 38821-3413
- Phone
- (662) 597-9200
- Fax
- (888) 918-2226
- Mailing address
- 201 3rd Ave N, Amory, MS 38821-3413
Authorised official
- Name
- Merri Sanderson
- Title
- Owner
- Phone
- (662) 597-9200
Registered specialties (3)
Durable Medical Equipment & Medical Supplies
Primary
Mail Order Pharmacy
Registry record
- NPI
- 1518086339
- Entity type
- Organization
- NPI issued
- 29 Mar 2007
- Record last updated
- 28 Aug 2013
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.