Organization
EAST COAST DIABETIC SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH DESCOTEAUX (OWNER)
(919) 365-2993
Entity
Organization
Contact information
Practice address
4030 WENDELL BLVD, WENDELL, NC 27591-6911
(919) 365-2993
(919) 365-3854
Mailing address
PO BOX 68, WENDELL, NC 27591-0068
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
07232
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515502
—
NC
01
—
3436222
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/14/2006
Last updated
07/20/2007
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