Brister Brothers Pharmacy DME

Key facts

NPI

1003083544

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

BRISTER BROTHERS PHARMACY DME

Practice address

1117 Sunset Dr
Suite 102
Grenada, MS 38901-4080

Phone

(662) 226-1642

Fax

(662) 226-8585

NPI assigned

May 14, 2008

Organization subpart

Yes

Parent organization (as reported)

BRISTER BROTHERS INC

Authorized official

Name

Mr. Ward Brister, RPH

Title

Owner

Phone

(662) 226-1642

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brister Brothers, Inc Pharmacy · Grenada, MS · NPI 1760537393
  NPPES parent name

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brister Brothers, Inc Pharmacy · Grenada, MS · NPI 1760537393
  NPD tax ID

National Provider Directory

Tax ID family

Brister Brothers Inc (2 organizations share this tax ID)

Part of

Brister Brothers Inc

Specialties & licenses

Addresses

Other identifiers

Other providers in Grenada, MS

• Sidney Bondurant, MD
• Bonner'S Pharmacy
• Karen Ewing Boxx, PHARMACIST
• David Ray Braswell
• Thomas Kevin Braswell, MD
• Brister Brothers, Inc
• Nell Catherine Brock, FNP,C
• Cynthia Lynn Burchfield, FNP-C
• Stephen D Butler, MD
• Latia Monanette Butts, CFNP

All providers in Grenada, MS · Durable Medical Equipment & Medical Supplies in Mississippi