Provider Demographics
NPI:1598504177
Name:ADULT DIAPERS STORE
Entity type:Organization
Organization Name:ADULT DIAPERS STORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:E H
Authorized Official - Last Name:KEMPER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:520-661-6624
Mailing Address - Street 1:7716 E 33RD ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-6059
Mailing Address - Country:US
Mailing Address - Phone:520-661-6624
Mailing Address - Fax:
Practice Address - Street 1:7716 E 33RD ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-6059
Practice Address - Country:US
Practice Address - Phone:520-661-6624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies