Organization
BROOKSHIRE GROCERY COMPANY
Active
Organization
BROOKSHIRE GROCERY COMPANY
Active
Other names
Super 1 Pharmacy #650
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL DUCOTE (VP PHARMACY OPS)
(903) 600-1376
Entity
Organization
Contact information
Practice address
921 S JACKSON ST, JACKSONVILLE, TX 75766
(903) 339-2169
(903) 339-2170
Mailing address
PO BOX 1411, TYLER, TX 75710-1411
(903) 534-3000
(903) 877-3820
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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