Brookshire Grocery Company
Brookshire Grocery Company is a health care provider in Tyler, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 210 N Mccoy Blvd, Attention Pharmacy Dept, New Boston, TX 75570-3025, US |
|Practice Location Phone||903-628-7459|
|Practice Location Fax||903-628-7462|
|Legal Business Name||BROOKSHIRE GROCERY COMPANY|
|Other Organization Name||BROOKSHIRES PHARMACY|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Nov 15, 2006|
|Last Update Date ? ||Mar 30, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Brookshire Grocery Company
|Specialty||Provider Type||Specialization||License||License State|
|Pharmacy||Suppliers||Community/Retail Pharmacy ||23004||Texas|
Legacy Provider IDs of Brookshire Grocery Company
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Brookshire Grocery Company
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Brookshire Grocery Company's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Jim Cousineau (RPH)|
|Authorized Official Title/Position||VP PHARMACY OPERATIONS|
|Authorized Official Phone Number||903-877-6514|