Brister Brothers Pharmacy Dme

LBN: Brister Brothers Pharmacy Dme
Brister Brothers Pharmacy Dme is an health care organization with primary practice located at 1117 Sunset Dr Suite 102, Grenada MS 38901-4080. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Brister Brothers Pharmacy Dme can be contacted via phone (662) 226-1642, or through Brister, Ward via phone (662) 226-1642.

Contact Information

Primary practice address
1117 Sunset Dr Suite 102 Grenada MS 38901-4080
Fax: (662) 226-8585
Website:
Authorized official contact:
Name: Brister, Ward RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1003083544
LBN Legal business name Brister Brothers Pharmacy Dme
DBA Doing business as
Authorized official Brister, Ward RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003083544 NPPES
Mississippi MEDICAID 00440562

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