| NPI | 1063665495 |
|---|---|
| Former Legal Business Name | ALPHA DIABETIC SUPPLY |
| Entity Type | Organization |
| Authorized Contact | BENJAMINO L GRANATO Owner 210-521-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |