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The Diabetic Super Store Inc
Durable Medical Equipment & Medical Supplies in Kingston, Tennessee
NPI 1265505549

The Diabetic Super Store Inc is a Durable Medical Equipment & Medical Supplies based in Kingston, TN. The Diabetic Super Store Inc practices in Kingston, TN. The NPI Number for The Diabetic Super Store Inc is 1265505549 and holds a License No. (Tennessee).

The current practice location address for The Diabetic Super Store Inc is 164 E Race St, Kingston, TN and can be reached out via phone at 865-717-1144 and via fax at 865-717-0184.

Location: 164 E Race St, Kingston, TN, 37763-2823
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265505549
Provider Name
The Diabetic Super Store Inc
Credential
Provider Entity Type
Organization
Address
164 E Race St, Kingston, TN, 37763-2823
Phone Number
865-717-1144
Fax Number
865-717-0184
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1454421 05 TN
4082388 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
164 E Race St
City
Kingston
State
Tennessee
Zip
37763-2823
Phone Number
865-717-1144
Fax Number
865-717-0184
person
Provider Business Mailing Address Details
Address
164 E Race St
City
Kingston
State
Tennessee
Zip
37763-2823
Phone Number
865-717-1144
Fax Number
865-717-0184
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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