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BROOKSHIRE GROCERY COMPANY

Medical Equipment Supplier Yellow Pages

Benton, Louisiana

Provider NPI: 1942373410

Organization Information:
Organization Name:  BROOKSHIRE GROCERY COMPANY


Practice Location:
6280 HIGHWAY 3 ATTENTION PHARMACY DEPT BENTON, LA 71006 US
Tel: 318-965-3669  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
LA994342

Other Provider Identifiers:

IssuerNumberStateType
1267341LA05
PK203456701
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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