Diabetic Shoe Source
Diabetic Shoe Source is a Durable Medical Equipment & Medical Supplies in Eagan, Minnesota. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2121 Cliff Dr Ste 118Eagan, MN 55122-3431
Phone: (763) 757-8086
Fax: (763) 862-4797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1003960147 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Luzaich — President · (763) 757-8086 |
| NPI enumerated | January 23, 2007 |
| Last updated in NPPES | October 21, 2021 |
| Certification date | October 21, 2021 |
| Mailing address | 2121 Cliff Dr Ste 118, Eagan, MN 55122-3431 |
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Fairview Pharmacy Services LLC
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Grand St Paul Cvs LLC
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