Organization
BROOKSHIRE BROTHERS INC
Active
Other names
Brookshire Brothers Pharmacy #76
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALSTON (CHIEF OPERATIONS OFFICER)
(936) 634-8155
Entity
Organization
Contact information
Practice address
305 WEST YORK, GANADO, TX 77962
(361) 771-3590
(361) 771-3591
Mailing address
PO BOX 315, GANADO, TX 77962-0315
(361) 771-3590
(361) 771-3591
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139473
PK
—
Enumeration date
04/17/2013
Last updated
02/16/2017
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