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
1310 S CONSTITUTION AVE, ATTENTION PHARMACY DEPT, ASHDOWN, AR 71822-8652
(870) 898-5501
(870) 898-5594
Mailing address
1310 SOUTH CONSTITUTION AVE, ATTENTION PHARMACY DEPT, ASHDOWN, AR 71822
(870) 898-5501
(870) 898-5594
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20291
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145333407
—
AR
01
—
1989424
PK
—
Enumeration date
11/16/2006
Last updated
09/19/2025
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