Organization · Type 2 NPI

Diabetes Store, Incorporated

Pharmacy · Memphis, TN

NPI number 1467508598 Active

Practice location

1760 Moriah Woods Blvd, Suite 2
Memphis, TN 38117-7128

Fax (800) 208-0683

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	0000004074 (TN)

Pharmacy: 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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

2 other providers at this address

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NPI record

NPI: 1467508598
Entity type: Organization (Type 2)
Issued: Jan 25, 2007
Last updated: Nov 11, 2022
Status: Active

Other names

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Diabetes and Respiratory Store · doing business as
The Diabetes and Respiratory Store · doing business as
The Diabetes and Respiratory Store · doing business as

Authorized official

Craig Brosseau
Secretary
(952) 646-3255

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467508598

Diabetes Store, Incorporated's National Provider Identifier is 1467508598, issued on Jan 25, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Memphis, TN. The record was last updated on Nov 11, 2022.