Diabetes Store, Inc.

LBN: Diabetes Store, Incorporated
Diabetes Store, Inc. is an health care organization with primary practice located at 7165 Swinnea Rd B-2, Southaven MS 38671-6360. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Diabetes Store, Incorporated can be contacted via phone (662) 280-5533, or through Brosseau, Craig via phone (952) 646-3255.

Contact Information

Primary practice address
7165 Swinnea Rd B-2 Southaven MS 38671-6360
Phone: (662) 280-5533
Fax: (800) 208-0863
Website:
Map and Directions
Authorized official contact:
Name: Brosseau, Craig
Phone: (952) 646-3255

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1235394206
LBN Legal business name Diabetes Store, Incorporated
DBA Doing business as Diabetes Store, Inc.
Authorized official Brosseau, Craig
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2008
Last updated Nov 11th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235394206 NPPES
Mississippi Other 4425570002 MEDICARE
Mississippi MEDICAID 05033718 MEDICARE

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