| NPI | 1972529451 |
|---|---|
| Doing Business As | DIABETES STORE, INC. |
| Entity Type | Organization |
| Authorized Contact | CRAIG BROSSEAU Secretary 952-646-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-11-11 |