Organization
BROTHERS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ARNOLD (VICE PRESIDENT OF REIMBURSEMENT)
(951) 809-4011
Entity
Organization
Contact information
Practice address
6200 LESLIE LN, LAKE CHARLES, LA 70615-4772
(877) 264-8060
Mailing address
11705 SLATE AVE STE 200, RIVERSIDE, CA 92505-5199
(951) 809-4011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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