NPI 1003083544
Brister Brothers Pharmacy Dme
Practice location
- Address
- 1117 Sunset Dr Suite 102, Grenada, MS 38901-4080
- Phone
- (662) 226-1642
- Fax
- (662) 226-8585
Authorised official
- Name
- Ward Brister
- Title
- Owner
- Phone
- (662) 226-1642
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1003083544
- Entity type
- Organization
- NPI issued
- 14 May 2008
- Record last updated
- 14 May 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.