Organization · NPI-2

Brookshire Grocery Company

Pharmacy, Community/Retail Pharmacy · Rockwall, TX

NPI number1366515835
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1366515835
Entity type
Organization (NPI-2)
Legal business name
Brookshire Grocery Company
Organization subpart
No
Enumeration date
Nov 15, 2006
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy16076TX

Other names

  • Brookshires Pharmacy #59 (Doing Business As)

Practice location

1201 Ridge Rd
Attention Pharmacy Dept
Rockwall, TX 75087-4242

Phone 972-771-1446 · Fax 972-722-8092

Mailing address

Po Bo X 1411
Attention Pharmacy Dept
Tyler, TX 75710-1411

Phone 972-771-1446 · Fax 903-877-3820

Authorized official

Jim D Cousineau
Vp Pharmacy Operations
9038776829

Is something wrong?

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