Brookshire Grocery Company
Pharmacy, Community/Retail Pharmacy in Anna, TX. Organization (NPI-2).
NPI number1740448174
StatusActive
Last updated in NPPESNov 1, 2012
Details
- NPI
- 1740448174
- Entity type
- Organization (NPI-2)
- Legal business name
- Brookshire Grocery Company
- Organization subpart
- No
- Enumeration date
- Jun 2, 2008
- Last updated
- Nov 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 25923 | TX | Yes |
Other names
- Brookshire Pharmacy (Doing Business As)
Practice location
1325 W White StAnna, TX 75409-5007
Phone 972-924-4220 · Fax 972-924-4773
Mailing address
Po Box 1411Tyler, TX 75710-1411
Phone 903-877-6514 · Fax 903-877-3820
Authorized official
Jim Cousineau
Vp Of Phcy Oper
9038776829
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