Organization
BROOKSHIRE BROTHERS LTD
Active
Organization
BROOKSHIRE BROTHERS LTD
Active
Other names
BROOKSHIRE BROTHERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAYBURN MITCHUM BS (PHARMACY ADMINISTRATOR)
(936) 634-8155
Entity
Organization
Contact information
Practice address
508 S VANBUREN, HENDERSON, TX 75652
(903) 657-3338
(903) 657-2541
Mailing address
508 S VANBUREN, HENDERSON, TX 75652
(903) 657-3338
(903) 657-2541
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
18294
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4591776
NCPDP
—
05
—
464094
—
TX
Enumeration date
09/25/2006
Last updated
03/26/2008
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