Diabetic Supply Source, Inc

LBN: Diabetic Supply Source, Inc
Diabetic Supply Source, Inc is an health care organization with primary practice located at 2805 Millwood Ave , Columbia SC 29205-1298. The organization recently has only one registered license in Suppliers / Mail Order Pharmacy, which is considered as the primary health care specialty. Diabetic Supply Source, Inc can be contacted via phone (803) 799-3505, or through Shuford, John via phone (803) 799-3505.

Contact Information

Primary practice address
2805 Millwood Ave Columbia SC 29205-1298
Phone: (803) 799-3505
Fax: (803) 256-1083
Website:
Map and Directions
Authorized official contact:
Name: Shuford, John
Phone: (803) 799-3505

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Mail Order Pharmacy 3336M0002X 50-008619 South Carolina

Profile Details

NPI number 1710022322
LBN Legal business name Diabetic Supply Source, Inc
DBA Doing business as
Authorized official Shuford, John
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 22nd, 2020 - about 6 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 1710022322 NPPES
South Carolina Other 4226292 NCPDP
South Carolina MEDICAID 786194 NCPDP
South Carolina Other 50-008619 NCPDP

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