Organization
DIABETES MANAGEMENT AND SUPPLIES
Active
Other names
DIABETES MANAGEMENT AND SUPPLIES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
10 COMMERCE CT, NEW ORLEANS, LA 70123-3225
(888) 738-7929
(800) 860-7201
Mailing address
220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5274IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035626
PK
—
Enumeration date
05/09/2008
Last updated
07/26/2024
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