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
719 I 35 EAST SOUTH, ATTENTION PHARMACY DEPT, DENTON, TX 76205
(940) 243-9401
(940) 387-4820
Mailing address
1600 W SW LOOP 323, PO BOX 1411, TYLER, TX 75701-8532
(903) 877-6827
(903) 877-3820
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
22015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2097873
PK
—
05
—
465238
—
TX
Enumeration date
11/16/2006
Last updated
06/08/2016
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