| NPI | 1164537452 |
|---|---|
| Doing Business As | DIABETES MANAGEMENT AND SUPPLES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Cco 484-246-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 5274R) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-02-06 |