Organization
TUCK ENTERPRISES LLC
Active
Other names
American Diabetes Shop
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH L TUCK (OWNER)
(334) 430-1456
Entity
Organization
Contact information
Practice address
8361 CHADBURN WAY, MONTGOMERY, AL 36116-7277
(334) 430-1456
(334) 396-9882
Mailing address
8361 CHADBURN WAY, MONTGOMERY, AL 36116-7277
(334) 430-1456
(334) 396-9882
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0003885
AL
Other
Enumeration date
05/22/2011
Last updated
05/22/2011
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