Organization
DIABETIC SUPPLIES COM INC
Active
Other names
DiabeticSupplies.com
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA KAY LUNA COTA, CPED (PRESIDENT CEO)
(360) 723-9002
Entity
Organization
Contact information
Practice address
107 SW 13TH AVE, BATTLE GROUND, WA 98604-3122
(360) 723-9001
(360) 723-9030
Mailing address
2210 W MAIN ST, SUITE 107-388, BATTLE GROUND, WA 98604-4236
(360) 723-9001
(360) 723-9030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
602049047
WA
Other
Enumeration date
08/10/2005
Last updated
01/05/2015
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