Organization
AZ DIABETIC SUPPLY INC
Active
Organization
AZ DIABETIC SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HISHAM ZAGHAL (PRESIDENT)
(877) 883-0001
Entity
Organization
Contact information
Practice address
386 MAPLE AVE E, SUITE 113, VIENNA, VA 22180-4720
(877) 883-0001
(703) 356-5516
Mailing address
386 MAPLE AVE E, SUITE 113, VIENNA, VA 22180-4720
(877) 883-0001
(703) 356-5516
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4434550001
VA
Other
Enumeration date
03/07/2007
Last updated
05/16/2014
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