OrganizationActive
Diabetic Supply Source, Inc
NPI 1710022322 · Mail Order Pharmacy · Columbia, SC
Provider details
- NPI number
- 1710022322
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Shuford, Owner(803) 799-3505
- License
- 50-008619 (SC)
Specialties & taxonomies
Suppliers
Practice location
2805 Millwood Ave
Columbia, SC 29205-1298
Phone: (803) 799-3505
Fax: (803) 256-1083
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 25534
Columbia, SC 29224-5534
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.