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Organization
BRISTER BROTHERS, INC
Active
Organization
BRISTER BROTHERS, INC
Active
Other names
H & W Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVOTIE WARD BRISTER R.PH (OWNER)
(662) 226-1212
Entity
Organization
Contact information
Practice address
1117 SUNSET DR, SUITE 102, GRENADA, MS 38901-4080
(662) 226-1212
(662) 229-0260
Mailing address
1117 SUNSET DR, SUITE 102, GRENADA, MS 38901-4080
(662) 226-1212
(662) 229-0260
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
03999
MS
Other
Enumeration date
01/24/2007
Last updated
02/28/2020
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