# BROOKSHIRE BROTHERS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BROOKSHIRE BROTHERS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689773905
- **Authorized official:** JOHN ALSTON (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (936) 634-8155

## Contact information

- **Practice address:** 1103 W 1ST ST, DERIDDER, LA 70634-3705
- **Practice address phone:** (337) 463-2258
- **Practice address fax:** (337) 462-0145
- **Mailing address:** 1103 W 1ST ST, DERIDDER, LA 70634-3705
- **Mailing address phone:** (337) 463-2258
- **Mailing address fax:** (337) 462-0145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 4623 | LA | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 02/06/2020