Provider Demographics
NPI:1659765048
Name:DMTT LLC
Entity Type:Organization
Organization Name:DMTT LLC
Other - Org Name:H&M DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESTENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-991-2009
Mailing Address - Street 1:17216 HIGHWAY 431
Mailing Address - Street 2:
Mailing Address - City:WEDOWEE
Mailing Address - State:AL
Mailing Address - Zip Code:36278-4574
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17216 HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:WEDOWEE
Practice Address - State:AL
Practice Address - Zip Code:36278-4574
Practice Address - Country:US
Practice Address - Phone:985-447-3746
Practice Address - Fax:985-449-7521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy