Organization
US DIABETIC SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN D MOLINATTO (MANAGING EMPLOYEE)
(919) 477-7508
Entity
Organization
Contact information
Practice address
1317 JOHN JONES RD, BAHAMA, NC 27503-9726
(919) 477-7508
(919) 471-8309
Mailing address
1317 JOHN JONES RD, BAHAMA, NC 27503-9726
(919) 477-7508
(919) 471-8309
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7702482
—
NC
Enumeration date
01/17/2007
Last updated
07/18/2007
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