BROOKSHIRE GROCERY COMPANY
Medical Equipment Supplier Yellow Pages
Pine Bluff, Arkansas
Provider NPI: 1235202706
Organization Information:Organization Name: BROOKSHIRE GROCERY COMPANY
Practice Location:
2800 S HAZEL ST ATTENTION PHARMACY DEPT PINE BLUFF, AR 71603 US
Tel: 870-535-4044 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:
2800 S HAZEL ST ATTENTION PHARMACY DEPT PINE BLUFF, AR 71603 US
Tel: 870-535-4044 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | AR | 0420004 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 1988193 | 01 | |
130898407 | AR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin