Organization
THE BERNICE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON K KEASTER PHARM. D (PIC)
(318) 285-9521
Entity
Organization
Contact information
Practice address
417 MAIN ST, BERNICE, LA 71222
(318) 285-9521
(318) 285-0185
Mailing address
PO BOX 636, BERNICE, LA 71222-0636
(318) 285-9521
(318) 285-0185
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
006680IR
LA
3336L0003X
Long Term Care Pharmacy
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1904223
NABP
LA
05
—
2202090
—
LA
Enumeration date
09/28/2006
Last updated
06/22/2018
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