Organization
CAPITAL DIABETIC SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES THOMPSON (PRESIDENT)
(803) 771-4410
Entity
Organization
Contact information
Practice address
1109 BELLEVIEW ST, SUITE 101, COLUMBIA, SC 29201-1839
(803) 771-4410
(803) 771-4460
Mailing address
1109 BELLEVIEW ST, SUITE 101, COLUMBIA, SC 29201-1839
(803) 771-4410
(803) 771-4460
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1841
—
SC
Enumeration date
07/28/2006
Last updated
07/21/2022
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