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
204 BROADWAY, WINNIE, TX 77665
(409) 296-2175
(409) 296-4406
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
23263
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143242
—
TX
01
—
2096855
PK
—
05
—
465601
—
TX
Enumeration date
09/25/2006
Last updated
02/05/2020
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