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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: 1932272267

Organization Information:
Organization Name:  BROOKSHIRE GROCERY COMPANY


Practice Location:
4918 BARKSDALE BLVD ATTENTION PHARMACY DEPT BOSSIER CITY, LA 71112 US
Tel: 318-549-2107  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
LA3960

Other Provider Identifiers:

IssuerNumberStateType
1265918LA05
PK203373201
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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