Organization
BROOKSHIRE BROTHERS INC
Active
Other names
BROOKSHIRE BROTHERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALSTON (CHIEF OPERATIONS OFFICER)
(936) 634-8155
Entity
Organization
Contact information
Practice address
1612 RUTH ST, SULPHUR, LA 70663-4906
(337) 527-0033
(337) 527-0074
Mailing address
1612 RUTH ST, SULPHUR, LA 70663-4906
(337) 527-0033
(337) 527-0074
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2968
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1261866
—
LA
01
—
2033221
PK
—
Enumeration date
09/22/2006
Last updated
12/21/2016
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