# BROOKSHIRE GROCERY COMPANY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SUPER 1 PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871666347
- **Authorized official:** JIM COUSINEAU RPH (VP PHARMACY OPERATIONS)
- **Authorized official phone:** (903) 877-6514

## Contact information

- **Practice address:** 604 MACARTHUR DR, ATTENTION PHARMACY DEPT, ALEXANDRIA, LA 71303-3111
- **Practice address phone:** (318) 442-5710
- **Practice address fax:** (318) 442-4887
- **Mailing address:** 1600 W SW LOOP 323, PO BOX 1411, TYLER, TX 75701-8532
- **Mailing address phone:** (903) 877-6827
- **Mailing address fax:** (903) 877-3820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 002890 | LA | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 12/22/2015