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Organization
SHIELD DIABETIC SUPPLY LLC.
Active
Organization
SHIELD DIABETIC SUPPLY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE S LEE (OWNER)
(512) 251-8893
Entity
Organization
Contact information
Practice address
1900 E HOWARD LN, SUITE B5, PFLUGERVILLE, TX 78660-8288
(512) 251-8893
(512) 251-0893
Mailing address
1900 E HOWARD LN, SUITE B5, PFLUGERVILLE, TX 78660-8288
(512) 251-8893
(512) 251-0893
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
08/02/2011
Last updated
01/25/2012
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