Organization
BROOKSHIRE PHARMACY INC
Active
Other names
UNION DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
WALT BROOKSHIRE (PRESIDENT)
(541) 562-5441
Entity
Organization
Contact information
Practice address
105 N MAIN, UNION, OR 97883-0400
(541) 562-5441
(541) 562-5269
Mailing address
PO BOX 400, UNION, OR 97883-0400
(541) 562-5441
(541) 562-5269
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000575
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125216
—
OR
01
—
2077558
PK
—
Enumeration date
08/20/2006
Last updated
03/29/2017
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