Organization
BROOKSHIRE BROTHERS INC
Active
Other names
Brookshire Brothers Pharmacy #100
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALSTON (COO)
(936) 634-8155
Entity
Organization
Contact information
Practice address
9295 HIGHWAY 6, MERIDIAN, TX 76665-3027
(254) 435-2799
(254) 435-2788
Mailing address
9295 HIGHWAY 6, MERIDIAN, TX 76665
(254) 435-2799
(254) 435-2788
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30698
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159134
PK
—
Enumeration date
04/04/2016
Last updated
07/14/2016
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