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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.

physician-icon Basic Information

Practice Location 210 N Mccoy Blvd, Attention Pharmacy Dept, New Boston, TX 75570-3025, US
Practice Location Phone903-628-7459
Practice Location Fax903-628-7462
Legal Business NameBROOKSHIRE GROCERY COMPANY
Other Organization NameBROOKSHIRES PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1730252206
Entity TypeOrganization
Enumeration Date ? Nov 15, 2006
Last Update Date ? Mar 30, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Brookshire Grocery Company

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy 23004Texas

legacy-id-icon Legacy Provider IDs of Brookshire Grocery Company

Provider IdIssuer StateIssuer TypeIssuer
2096480OtherPK
465570TexasMedicaid

official-icon 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/PositionVP PHARMACY OPERATIONS
Authorized Official Phone Number903-877-6514