# BRODIE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BRODIE PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336253319
- **Authorized official:** ROBERT ADAMS (MGR)
- **Authorized official phone:** (318) 647-5754

## Contact information

- **Practice address:** 204 DAVENPORT AVE, MER ROUGE, LA 71261
- **Practice address phone:** (318) 647-5754
- **Practice address fax:** (318) 647-5222
- **Mailing address:** PO BOX 153, MER ROUGE, LA 71261-0153
- **Mailing address phone:** (318) 647-5754
- **Mailing address fax:** (318) 647-5222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 000103IR | LA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 07/19/2010
