Organization
BROOKSHIRE GROCERY COMPANY
Active
Other names
Brookshire Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIM COUSINEAU (VP PHARMACY OPERATIONS)
(903) 877-6862
Entity
Organization
Contact information
Practice address
880 E STATE HIGHWAY 243, CANTON, TX 75103
(903) 567-2403
(903) 567-4801
Mailing address
PO BOX 1411, TYLER, TX 75710-1411
(903) 877-6827
(903) 877-3820
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4550453
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/05/2008
Last updated
11/06/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us