Organization
DIABETIC WAREHOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TENA SATCHER (PRESIDENT)
(601) 474-3300
Entity
Organization
Contact information
Practice address
3839 OLD US HWY 45 N, SUITE B, MERIDIAN, MS 39301
(601) 474-3300
(601) 474-3317
Mailing address
3839 OLD US HWY 45 N, SUITE B, MERIDIAN, MS 39301
(601) 474-3300
(601) 474-3317
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0448480-001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469866
—
LA
Enumeration date
08/17/2006
Last updated
04/13/2011
Update your record
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