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Organization
THE DIABETIC STORE
Active
Organization
THE DIABETIC STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALTONIA WILLIAMS (OWNER/OPERATOR)
(214) 729-3410
Entity
Organization
Contact information
Practice address
1237 SATURN DR, CEDAR HILL, TX 75104-3213
(214) 729-3410
Mailing address
PO BOX 3972, CEDAR HILL, TX 75106-3972
(214) 729-3410
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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