# DMT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** D AND M PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326067299
- **Authorized official:** LISA PRESTENBACH RPH (OWNER AND PIC)
- **Authorized official phone:** (985) 447-3746

## Contact information

- **Practice address:** 1772 CANAL BLVD, THIBODAUX, LA 70301-5225
- **Practice address phone:** (985) 447-3746
- **Practice address fax:** (985) 447-2853
- **Mailing address:** 1772 CANAL BLVD, THIBODAUX, LA 70301-5225
- **Mailing address phone:** (985) 447-3746
- **Mailing address fax:** (985) 447-2853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY005681IR | LA | Yes |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 04/09/2015