| NPI | 1376836551 |
|---|---|
| Doing Business As | AMERICAN DIABETES SHOP |
| Entity Type | Organization |
| Authorized Contact | KEITH L TUCK Owner 334-430-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 0003885) |
| Enumeration Date | 2011-05-22 |
| Last Update Date | 2011-05-22 |