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Nursing Facility Supplies, Customized Equipment

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DMT INC

Managed Care Organization Pharmacy

Thibodaux, Louisiana

Provider NPI: 1326067299

Organization Information:
Organization Name:  DMT INC


Practice Location:
1772 CANAL BLVD  THIBODAUX, LA 70301 US
Tel: 985-447-3746  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N3336M0003XSuppliers
Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
LAPHY005681IR

Other Provider Identifiers:

IssuerNumberStateType
1234290LA05
PK202965001
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MANAGED CARE JOBS LA - Page 1



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