| NPI | 1417124496 |
|---|---|
| Doing Business As | DIABETES MANAGEMENT AND SUPPLIES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Cco 484-246-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 5274IR) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2024-07-26 |