Organization
HEALTHCARE WAREHOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD BROCK (OWNER)
(318) 323-7773
Entity
Organization
Contact information
Practice address
209 EXPO CIRCLE, STE A, WEST MONROE, LA 71292
(318) 323-7773
(318) 323-8020
Mailing address
209 EXPO CIRCLE, STE A, WEST MONROE, LA 71292
(318) 323-7773
(318) 323-8020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010764101
—
TX
05
—
016595301
—
TX
05
—
1685194
—
LA
Enumeration date
06/21/2006
Last updated
01/24/2020
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