Organization
BROOKSHIRE BROTHERS LTD
Active
Other names
BROOKSHIRE BROTHERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAYBURN MITCHUM BS (PHARMACY ADMINISTRATOR)
(936) 634-8155
Entity
Organization
Contact information
Practice address
23221 ALDINE WESTFIELD RD, SPRING, TX 77373-7755
(281) 355-1550
(281) 355-1775
Mailing address
23221 ALDINE WESTFIELD RD, SPRING, TX 77373-7755
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
24397
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4593148
NCPDP
—
05
—
466248
—
TX
Enumeration date
09/22/2006
Last updated
10/16/2008
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