LUCKY MEDICAL SUPPLIES

Health Maintenance Organization

Code: 302R00000X

Assisted Living Facility — Assisted Living, Mental Illness

Code: 3104A0625X

Residential Treatment Facility, Physical Disabilities

Code: 320700000X

Psychiatric Residential Treatment Facility

Code: 323P00000X

Department of Veterans Affairs (VA) Pharmacy

Code: 332100000X

Durable Medical Equipment & Medical Supplies — Customized Equipment

Code: 332BC3200X

Durable Medical Equipment & Medical Supplies — Dialysis Equipment & Supplies

Code: 332BD1200X

Durable Medical Equipment & Medical Supplies — Nursing Facility Supplies

Code: 332BN1400X

Durable Medical Equipment & Medical Supplies — Parenteral & Enteral Nutrition

Code: 332BP3500X

Secured Medical Transport (VAN)

Code: 343800000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Durable Medical Equipment & Medical Supplies

Code: 332B00000X