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Organization

BROOKS MEDICAL SUPPLY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE L. BROOKS (VP)
(870) 932-4597
Entity
Organization

Contact information

Practice address
800 JOE BROOKS DR, JONESBORO, AR 72401-4133
(870) 932-4597
(870) 932-0656
Mailing address
800 JOE BROOKS DR, JONESBORO, AR 72401-4133
(870) 932-4597
(870) 932-0656

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121945716
AR
01
48452
ARKANSAS BC BS
AR
Enumeration date
03/27/2007
Last updated
12/18/2008
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