# BROOKSHIRE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UNION DRUG COMPANY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114032158
- **Authorized official:** WALT BROOKSHIRE (PRESIDENT)
- **Authorized official phone:** (541) 562-5441

## Contact information

- **Practice address:** 105 N MAIN, UNION, OR 97883-0400
- **Practice address phone:** (541) 562-5441
- **Practice address fax:** (541) 562-5269
- **Mailing address:** PO BOX 400, UNION, OR 97883-0400
- **Mailing address phone:** (541) 562-5441
- **Mailing address fax:** (541) 562-5269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP-0000575 | OR | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 03/29/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 125216 | — | OR |
| 01 | — | 2077558 | PK | — |