Organization
DIABETES STORE INCORPORATED
Active
Other names
Diabetes Store, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TOSHIO SERIZAWA (PRESIDENT)
(612) 709-4079
Entity
Organization
Contact information
Practice address
1760 MORIAH WOODS BLVD, SUITE 2, MEMPHIS, TN 38117-7128
(901) 312-3150
(800) 208-0863
Mailing address
1760 MORIAH WOODS BLVD, SUITE 2, MEMPHIS, TN 38117-7128
(901) 312-3150
(901) 312-3152
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/15/2006
Last updated
08/29/2025
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