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Contact Information

BROOKSHIRE GROCERY COMPANY
602 JEFFERSON PARK
ATTENTION PHARMACY DEPT
MOUNT PLEASANT, TX75455
 Phone: 903-575-1610
 Fax: 903-575-1607
 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 GROCERY COMPANY

NPI Number 1578636049
LBN Legal business name BROOKSHIRE GROCERY COMPANY
Authorized official JIM COUSINEAU - (VP PHARMACY OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 08/10/2016 - About 10 years ago
Identifiers
TX License # 21001
TX Medicaid 464887
Other 2095835 PK
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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