Organization
COMPREHENSIVE DIABETIC SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH MCKINZIE (PROGRAM DIRECTOR)
(901) 327-9440
Entity
Organization
Contact information
Practice address
3251 POPLAR AVE, SUITE 23, MEMPHIS, TN 38111-3609
(901) 327-9440
(901) 452-6081
Mailing address
3251 POPLAR AVE, SUITE 23, MEMPHIS, TN 38111-3609
(901) 327-9440
(901) 452-6081
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000868
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000004446
PHARMACY
TN
05
—
1455061
—
TN
Enumeration date
07/05/2006
Last updated
02/25/2008
Update your record
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