Organization
BROOKSHIRE BROTHERS INC
Active
Other names
Brookshire Brothers Pharmacy #26
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALSTON (CHIEF OPERATING OFFICER)
(936) 634-8155
Entity
Organization
Contact information
Practice address
1117 N MAIN ST, JEWETT, TX 75846-4563
(903) 626-5414
(903) 626-6062
Mailing address
PO BOX 986, JEWETT, TX 75846-0986
(903) 626-6062
(903) 626-6062
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144772
PK
—
Enumeration date
03/26/2014
Last updated
12/31/2015
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