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BROOKSHIRE GROCERY COMPANY

Medical Equipment Supplier Yellow Pages

Lafayette, Louisiana

Provider NPI: 1124191697

Organization Information:
Organization Name:  BROOKSHIRE GROCERY COMPANY


Practice Location:
215 W WILLOW ST ATTENTION PHARMACY DEPT LAFAYETTE, LA 70501 US
Tel: 318-572-9053  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
LA4111

Other Provider Identifiers:

IssuerNumberStateType
1266485LA05
PK203392601
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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