| NPI | 1245259282 |
|---|---|
| Doing Business As | ADVANCED DIABETES SUPPLY |
| Former Legal Business Name | NORTH COAST MEDICAL SUPPLY, INC. |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CADY President 760-579-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: CA PHY46615) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-05-10 |