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Organization

DIABETES MANAGEMENT AND SUPPLIES

Active
Other names
Diabetes Management & Supplies
Organization subpart
No

Provider details

NPI number
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER)
(484) 246-9499
Entity
Organization

Contact information

Practice address
2 COMMERCE CT, NEW ORLEANS, LA 70123-3225
(888) 738-7929
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5274R
LA
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2035208
PK
05
2208772
LA
Enumeration date
08/20/2006
Last updated
10/13/2025
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