Local City Search for Medical Equipment Suppliers BROOKSHIRE GROCERY COMPANY
Medical Equipment Supplier Yellow Pages
Shreveport, Louisiana
Provider NPI: 1780757252
Organization Information:Organization Name: BROOKSHIRE GROCERY COMPANY
Practice Location:
2640 WAGGONER AVE ATTENTION PHARMACY DEPT SHREVEPORT, LA 71108 US
Tel: 318-631-2065 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2640 WAGGONER AVE ATTENTION PHARMACY DEPT SHREVEPORT, LA 71108 US
Tel: 318-631-2065 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 333600000X | Suppliers Pharmacy | ||
| Y | 3336C0003X | Suppliers Pharmacy | LA | 932939 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PK | 2033200 | 01 | |
| 1262030 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
