Organization
BROOKSHIRE BROTHERS INC
Active
Organization
BROOKSHIRE BROTHERS INC
Active
Other names
Brookshire Brothers Pharmacy #56, B AND B PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JOHNSON BS (CHIEF OPERATIONS OFFICER)
(936) 634-8155
Entity
Organization
Contact information
Practice address
420 N HILL ST, TATUM, TX 75691-1783
(903) 947-2174
(903) 947-2175
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
23294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2096522
PK
—
05
—
465610
—
TX
Enumeration date
09/25/2006
Last updated
02/05/2020
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