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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