Organization
BROOKSHIRE BROTHERS INC
Active
Other names
Brookshire Brother's Pharmacy #59
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALSTON (PRESIDENT CEO)
(936) 634-8155
Entity
Organization
Contact information
Practice address
295 HIGHWAY 105 E, SOUR LAKE, TX 77659-7783
(409) 287-3525
(409) 287-2295
Mailing address
1201 ELLEN TROUT DR, LUFKIN, TX 75904-1233
(936) 634-8155
(936) 633-4678
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099699
PK
—
05
—
464888
—
TX
Enumeration date
09/25/2006
Last updated
11/19/2020
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