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Organization

BROOKSHIRE BROS LTD

Active
Other names
BROOKSHIRE BROS INSTITUTIONAL PHCY
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY JOHNSON CPHT (EXEC VP)
(936) 634-8155
Entity
Organization

Contact information

Practice address
1906 N FRAZIER ST, STE B, CONROE, TX 77301-1240
(936) 539-6521
(936) 539-6523
Mailing address
1906 N FRAZIER ST, STE B, CONROE, TX 77301-1240

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3336L0003X
Long Term Care Pharmacy
25265
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4543573
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
01/03/2007
Last updated
09/11/2025
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