# BROOKSHIRE GROCERY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Super One
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003182122
- **Authorized official:** JIM COUSINEAU (SR. VP PHARMACY OPS)
- **Authorized official phone:** (903) 877-6829

## Contact information

- **Practice address:** 3916 NE EVANGELINE TRWY, CARENCRO, LA 70520-5972
- **Practice address phone:** (337) 886-3660
- **Practice address fax:** (337) 886-3661
- **Mailing address:** 3916 NE EVANGELINE THRUWAY, CARENCRO, LA 70520
- **Mailing address phone:** (337) 886-3660
- **Mailing address fax:** (337) 886-3661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.006495-RC | LA | Yes |

## Other

- **Enumeration date:** 03/23/2012
- **Last updated:** 09/19/2025