Organization
BROOKSHIRE BROTHERS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY A JOHNSON (PRESIDENT)
(936) 634-8155
Entity
Organization
Contact information
Practice address
1201 ELLEN TROUT DR, LUFKIN, TX 75904-1233
(936) 634-8155
(936) 634-4678
Mailing address
1201 ELLEN TROUT DR, LUFKIN, TX 75904-1233
(936) 634-8155
(936) 634-4678
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463
NCPDP CHAIN CODE
—
Enumeration date
08/01/2007
Last updated
08/01/2007
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