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Organization

SPECTRUM PRODUCTS AND TECHNOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. OCTAVIA T JACKSON (MANAGER)
(318) 767-8816
Entity
Organization

Contact information

Practice address
7525 HIGHWAY 71 S, ALEXANDRIA, LA 71302-9116
(318) 767-8816
(318) 473-4279
Mailing address
7525 HIGHWAY 71 S, ALEXANDRIA, LA 71302-9116
(318) 767-8816
(318) 473-4279

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1470066
LA
Enumeration date
08/07/2006
Last updated
04/27/2010
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