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
427 PINSON RD, ATTENTION PHARMACY DEPT, FORNEY, TX 75126-9767
(972) 552-9573
(972) 552-4601
Mailing address
PO BOX 1230, ATTENTION PHARMACY DEPT, FORNEY, TX 75126-1230
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095879
PK
—
05
—
464219
—
TX
05
—
464619
—
TX
Enumeration date
11/15/2006
Last updated
08/18/2016
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