Local City Search for Medical Equipment Suppliers BROOKSHIRE GROCERY COMPANY
Medical Equipment Supplier Yellow Pages
Jackson, Mississippi
Provider NPI: 1205909777
Organization Information:Organization Name: BROOKSHIRE GROCERY COMPANY
Practice Location:
2861 TERRY RD ATTENTION PHARMACY DEPT JACKSON, MS 39212 US
Tel: 601-372-2387 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:
2861 TERRY RD ATTENTION PHARMACY DEPT JACKSON, MS 39212 US
Tel: 601-372-2387 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 333600000X | Suppliers Pharmacy | MS | 03698 / 01.2 |
| N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
| Y | 3336C0003X | Suppliers Pharmacy |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2521119 | 01 | |
| 0330683 | MS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
