OrganizationActive
Diabetes Store, Incorporated
NPI 1740875400 · Prosthetic/Orthotic Supplier · Memphis, TN
Provider details
- NPI number
- 1740875400
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Craig Brosseau, Secretary(952) 646-3255
Specialties & taxonomies
Suppliers
Practice location
1760 Moriah Woods Blvd Ste 2
Memphis, TN 38117-7128
Phone: (901) 312-3150
Fax: (800) 208-0863
Approximate (ZIP-level) locationGet directions
Mailing address
1760 Moriah Woods Blvd Ste 2
Memphis, TN 38117-7128
Other names (DBA / former)
- Doing business as
- Diabetes Store, Inc.
- Doing business as
- Diabetes Store, Inc.
Registry dates
- Enumerated
- 2021-03-04
- Last updated
- 2022-11-11
- Certified
- 2022-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.