Organization
BROOKSHIRE BROTHERS INC
Active
Other names
BROOKSHIRE BROTHERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALSTON (CHIEF OPERATIONS OFFICER)
(936) 634-8155
Entity
Organization
Contact information
Practice address
1125 S WHEELER ST, JASPER, TX 75951-5117
(409) 384-7330
(409) 384-7573
Mailing address
1201 ELLEN TROUT DR, LUFKIN, TX 75904-1233
(936) 634-8155
(936) 633-4678
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106845
PK
—
05
—
464049
—
TX
Enumeration date
09/22/2006
Last updated
08/02/2016
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