Organization
ACCESS DIABETIC SUPPLY LLC
Active
Parent organization
OWENS & MINOR HEALTHCARE SUPPLY, INC
Other names
AOM Healthcare Solutions
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENS & MINOR HEALTHCARE SUPPLY, INC
Authorized official
MR. WILLIAM K. STOCKSDALE (DIVISION PRESIDENT)
(954) 975-2281
Entity
Organization
Contact information
Practice address
2101 NW 33RD ST, STE 1000A, POMPANO BEACH, FL 33069-1068
(954) 975-2281
(800) 477-5801
Mailing address
PO BOX 841657, DALLAS, TX 75284-1657
(954) 975-2281
(800) 477-5801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001137316
—
DE
05
—
003110228
—
CT
05
—
009953365
—
AL
05
—
022513401
—
FL
05
—
0545533
—
IA
05
—
100403870A
—
KS
05
—
1118281
—
LA
05
—
1162329
—
KY
05
—
146034741
—
AR
05
—
200340550A
—
IN
05
—
344347881A
—
GA
05
—
568628
—
HI
05
—
621773
—
AZ
05
—
806119600
—
ID
05
—
90003617
—
KY
05
—
96835249
—
CO
05
—
MS803FL
—
AK
05
—
XDME03002
—
CA
Enumeration date
06/30/2006
Last updated
03/06/2009
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