| NPI | 1578822169 |
|---|---|
| Doing Business As | DIABETIC STORE AND MORE |
| Entity Type | Organization |
| Authorized Contact | DAWN WALDROP Secretary 662-838-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |