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BROOKSHIRE GROCERY COMPANY

Medical Equipment Supplier Yellow Pages

Shreveport, Louisiana

Provider NPI: 1134292600

Organization Information:
Organization Name:  BROOKSHIRE GROCERY COMPANY


Practice Location:
9250 MANSFIELD RD ATTENTION PHARMACY DEPT SHREVEPORT, LA 71118 US
Tel: 318-686-6311  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
LA3295

Other Provider Identifiers:

IssuerNumberStateType
1263231LA05
PK203352501
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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