Organization
DIABETIC WAREHOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A FLAHERTY (OWNER)
(337) 474-5972
Entity
Organization
Contact information
Practice address
4417 LAKE ST, LAKE CHARLES, LA 70605-4311
(337) 474-5972
(337) 479-0485
Mailing address
4417 LAKE ST, LAKE CHARLES, LA 70605-4311
(337) 474-5972
(337) 479-0485
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469866
—
LA
Enumeration date
07/01/2005
Last updated
09/11/2025
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