Organization
BROOKSHIRE BROTHERS INC
Active
Other names
BROOKSHIRE BROTHERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALSTON (VICE PRESIDENT OF RETAIL)
(936) 634-8155
Entity
Organization
Contact information
Practice address
18535 FM 1488 RD, MAGNOLIA, TX 77354-2700
(281) 356-6103
(281) 356-8528
Mailing address
1201 ELLEN TROUT DR, LUFKIN, TX 75904-1233
(936) 634-8155
(936) 634-8646
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105256
PK
—
05
—
464107
—
TX
Enumeration date
09/22/2006
Last updated
02/05/2020
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