Brookshire Grocery Company
Pharmacy, Community/Retail Pharmacy in Shreveport, LA. Organization (NPI-2).
NPI number1114090446
StatusActive
Last updated in NPPESDec 22, 2015
Details
- NPI
- 1114090446
- Entity type
- Organization (NPI-2)
- Legal business name
- Brookshire Grocery Company
- Organization subpart
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Dec 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 3294 | LA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Brookshires Pharmacy (Doing Business As)
Practice location
388 Bert Kouns LoopAttention Pharmacy Dept
Shreveport, LA 71106-8123
Phone 318-687-7558 · Fax 318-687-7554
Mailing address
1600 W Sw Loop 323Po Box 1411
Tyler, TX 75701-8532
Phone 903-877-6827 · Fax 903-877-3820
Authorized official
Jim Cousineau
Vp Pharmacy Operations
9038776514
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