Organization
BROOKSHIRE GROCERY COMPANY
Active
Other names
BROOKSHIRES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIM COUSINEAU RPH (VP PHARMACY OPERATIONS)
(903) 877-6514
Entity
Organization
Contact information
Practice address
521 S MAIN ST, ATTENTION PHARMACY DEPT, LINDALE, TX 75771-6814
(903) 882-1309
(903) 882-1436
Mailing address
PO BOX 880, ATTENTION PHARMACY DEPT, LINDALE, TX 75771-0880
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
22568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099063
PK
—
05
—
465461
—
TX
Enumeration date
11/16/2006
Last updated
08/18/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us