Organization
BROOKSHIRE BROTHERS INC
Active
Other names
Brookshire Brothers Pharmacy #12
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA LYNN ADKISON (PHARMACY ADMIN)
(936) 634-8155
Entity
Organization
Contact information
Practice address
455 GEORGE BUSH DRIVE W, COLLEGE STATION, TX 77840
(979) 314-5009
(979) 680-0111
Mailing address
1201 ELLEN TROUT DR, LUFKIN, TX 75904-1233
(936) 634-8155
(936) 633-4678
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33500
TSBP
TX
Enumeration date
11/13/2020
Last updated
11/13/2020
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