| NPI | 1609865773 |
|---|---|
| Doing Business As | DIABETES SOURCE RX |
| Entity Type | Organization |
| Authorized Contact | MOLLY MOUTON Vice President 337-267-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2009-04-23 |