Organization
HEARTLAND DIABETIC SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORA LYNN MORA (OWNER)
(913) 538-7582
Entity
Organization
Contact information
Practice address
10703 W. 149TH STREET, OVERLAND PARK, KS 66221
(913) 538-7582
(913) 897-7709
Mailing address
10703 W. 149TH STREET, OVERLAND PARK, KS 66221
(913) 538-7582
(913) 897-7709
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
6-00316
KS
Other
Enumeration date
10/03/2006
Last updated
07/21/2022
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