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Contact Information

BROOKSHIRE BROTHERS LTD
508 S VANBUREN
HENDERSON, TX75652
 Phone: 903-657-3338
 Fax: 903-657-2541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BROOKSHIRE BROTHERS LTD

NPI # 1568562908
LBN Legal business name BROOKSHIRE BROTHERS LTD
Authorized official RAYBURN MITCHUM - (PHARMACY ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2006
Last updated 03/26/2008 - About 18 years ago
Identifiers
TX License # 18294
TX Medicaid 464094
Other 4591776 NCPDP
Other 4591776 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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