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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
810 S STATE ST, MADISONVILLE, TX 77864-1927
(936) 348-2731
(936) 348-9121
Mailing address
1201 ELLEN TROUT DR, LUFKIN, TX 75904-1233
(936) 634-8155
(936) 633-4678

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
25137
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2099957
PK
05
466292
TX
Enumeration date
09/22/2006
Last updated
02/05/2020
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