# BROOKLERE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brooklere Pharmacy 104
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598134884
- **Authorized official:** JOHNNY BROOKLERE (PHARMACIST/OWNER)
- **Authorized official phone:** (205) 648-6059

## Contact information

- **Practice address:** 385 BRYAN RD, STE 200, SUMITON, AL 35148-3436
- **Practice address phone:** (205) 648-6059
- **Practice address fax:** (205) 648-4706
- **Mailing address:** 385 BRYAN RD, STE 200, SUMITON, AL 35148-3436
- **Mailing address phone:** (205) 648-6059
- **Mailing address fax:** (205) 648-4706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 103045 | AL | Yes |

## Other

- **Enumeration date:** 09/17/2015
- **Last updated:** 09/17/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2154083 | PK | — |