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Organization
BROOKSHIRE BROTHERS LTD
Active
Organization
BROOKSHIRE BROTHERS LTD
Active
Other names
BROOKSHIRE BROTHERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAYBURN MITCHUM BS (PHARMACY ADMINISTRATOR)
(936) 634-8155
Entity
Organization
Contact information
Practice address
1807 W FRANK AVE, SUITE B, LUFKIN, TX 75904-3185
(936) 634-3285
(936) 634-8218
Mailing address
1807 W FRANK AVE, SUITE B, LUFKIN, TX 75904-3185
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
21990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350177
—
TX
01
—
4525260
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/25/2006
Last updated
07/19/2007
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