Organization · NPI-2

Brookshire Grocery Company

Pharmacy, Community/Retail Pharmacy · Allen, TX

NPI number1629141197
StatusActive
Last updated in NPPESFeb 28, 2008

Details

NPI
1629141197
Entity type
Organization (NPI-2)
Legal business name
Brookshire Grocery Company
Organization subpart
No
Enumeration date
Nov 15, 2006
Last updated
Feb 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
333600000X Pharmacy16794TX
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Brookshires Pharmacy #65 (Doing Business As)

Practice location

109 N Greenville Ave
Attention Pharmacy Dept
Allen, TX 75002-9158

Phone 972-390-8397 · Fax 972-396-8564

Mailing address

Po Box 1411
Attention Pharmacy Dept
Tyler, TX 75710-1411

Phone 972-390-8397 · Fax 903-877-6909

Authorized official

Jim D Cousineau
Vp Pharmacy Operations
9038776829

Is something wrong?

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