Organization
BROOKSHIRE GROCERY COMPANY
Active
Organization
BROOKSHIRE GROCERY COMPANY
Active
Other names
BROOKSHIRES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIM COUSINEAU RPH (VP PHARMACY OPERATIONS)
(903) 877-6514
Entity
Organization
Contact information
Practice address
2800 PINE ST, ATTENTION PHARMACY DEPT, ARKADELPHIA, AR 71923-5321
(870) 246-2015
(870) 246-2915
Mailing address
2800 PINE STREET NO 5 PINE PLAZA, ATTENTION PHARMACY DEPT, ARKADELPHIA, AR 71923
(870) 246-2015
(870) 246-2915
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0420003
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130897407
—
AR
01
—
1988194
PK
—
Enumeration date
11/16/2006
Last updated
09/19/2025
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