Organization
AMERICAN DIABETIC SUPPLY SYSTEMS INC
Active
Other names
Diabetic Supplies Direct
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY LYNN CUOMO (PRESIDENT)
(910) 794-6999
Entity
Organization
Contact information
Practice address
5202 CAROLINA BEACH RD, SUITE 15, WILMINGTON, NC 28412-2535
(910) 794-6999
(910) 794-9066
Mailing address
5202 CAROLINA BEACH RD, SUITE 15, WILMINGTON, NC 28412-2535
(910) 794-6999
(910) 794-9066
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000513
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045KU
BLUE CROSS ID NUMBER
NC
05
—
7703190
—
NC
Enumeration date
03/29/2006
Last updated
08/22/2020
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