Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COMPLETE DIABETES PHARMACY CARE INC
Active
Organization
COMPLETE DIABETES PHARMACY CARE INC
Active
Other names
Complete Diabetes Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BROSSEAU (SECRETARY)
(952) 646-3255
Entity
Organization
Contact information
Practice address
7165 SWINNEA RD, BLDG B-2, SOUTHAVEN, MS 38671-6360
(662) 280-5533
(800) 208-0863
Mailing address
7165 SWINNEA RD, BUILDING B-2, SOUTHAVEN, MS 38671-6360
(662) 280-5533
(800) 208-0863
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
13340
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145616
PK
—
Enumeration date
04/15/2014
Last updated
11/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers