Diabetes Store, Incorporated in Memphis - Pharmacy
Diabetes Store, Incorporated - NPI 1467508598
Diabetes Store, Incorporated is a Pharmacy in Memphis, Tennessee. Diabetes Store, Incorporated practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Diabetes Store, Incorporated is 1467508598. The last update date is 2022-11-11.
Diabetes Store, Incorporated's current location address is 1760 Moriah Woods Blvd, Memphis, Tennessee. You can contact this provider via phone number 9013123150 and fax number 8002080863. The mailing address for Diabetes Store, Incorporated is 1760 Moriah Woods Blvd, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diabetes Store, Incorporated |
|---|---|
| Address | 1760 Moriah Woods Blvd, Memphis, Tennessee |
| Phone Number | 9013123150 |
| Fax Number | 8002080863 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Brosseau Craig |
| Telephone Number | 9526463255 |
NPI Number Detail
| NPI Number | 1467508598 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2022-11-11 |
Provider Mailing Address Detail
| Address | 1760 Moriah Woods Blvd |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381177128 |
| Phone Number | 9013123150 |
| Fax Number | 8002080863 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 4074 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4437643 | TN | NCPDP |
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What is the unique 10-digit identification code issued to Diabetes Store, Incorporated by the Centers for Medicare & Medicaid Services?
The Diabetes Store, Incorporated has been assigned the NPI (National Provider Identifier) 1467508598 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Diabetes Store, Incorporated located?
The Diabetes Store, Incorporated is located at 1760 Moriah Woods Blvd, Memphis, TN 381177128.
What is the Diabetes Store, Incorporated's specialty and taxonomy code?
The Diabetes Store, Incorporated's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date did the Diabetes Store, Incorporated receive its 1467508598 assignment from the Centers for Medicare & Medicaid Services?
The Diabetes Store, Incorporated was assigned its 1467508598 by the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the Diabetes Store, Incorporated's information last updated?
The Diabetes Store, Incorporated's information was last updated on 2022-11-11.
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