Organization
BROOKSHIRE BROTHERS INC
Active
Other names
BROOKSHIRE BROTHERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALSTON (CHIEF OPERATIONS OFFICER)
(936) 634-8155
Entity
Organization
Contact information
Practice address
14100 RANCH ROAD 12, SUITE 2A, WIMBERLEY, TX 78676-5354
(512) 847-7520
(512) 842-8032
Mailing address
14100 RANCH ROAD 12, SUITE 2A, WIMBERLEY, TX 78676-5354
(512) 847-7520
(512) 842-8032
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092113
PK
—
05
—
464302
—
TX
Enumeration date
09/22/2006
Last updated
06/11/2015
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