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Organization
DMTT LLC
Active
Organization
DMTT LLC
Active
Other names
H&M DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB PRESTENBACH (CEO)
(985) 447-3746
Entity
Organization
Contact information
Practice address
17216 HIGHWAY 431, WEDOWEE, AL 36278-4574
(256) 357-4614
(256) 357-4641
Mailing address
1772 CANAL BLVD, THIBODAUX, LA 70301-5225
(985) 447-3746
(985) 449-7521
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
104850
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000227983C
—
GA
05
—
161511
—
AL
05
—
168025
—
AL
01
—
2147084
PK
—
Enumeration date
07/07/2006
Last updated
06/27/2016
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