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Nursing Facility Supplies, Customized Equipment

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BROOKSHIRE GROCERY COMPANY

Medical Equipment Supplier Yellow Pages

Bossier City, Louisiana

Provider NPI: 1770656241

Organization Information:
Organization Name:  BROOKSHIRE GROCERY COMPANY


Practice Location:
1870 AIRLINE DR ATTENTION PHARMACY DEPT BOSSIER CITY, LA 71112 US
Tel: 318-746-8401  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
LA3291

Other Provider Identifiers:

IssuerNumberStateType
PK203353001
1263273LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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