Organization
DISCOUNT MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM D. KING (PRESIDENT)
(318) 219-1234
Entity
Organization
Contact information
Practice address
3540 YOUREE DR, SHREVEPORT, LA 71105-2120
(318) 219-1234
(318) 219-1230
Mailing address
3540 YOUREE DR, SHREVEPORT, LA 71105-2120
(318) 219-1234
(318) 219-1230
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1670413
—
LA
01
—
C8256
BLUECROSS BLUESHIELD LA
LA
Enumeration date
02/05/2007
Last updated
09/11/2025
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