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
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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