Organization
BROOKSHIRE GROCERY COMPANY
Active
Other names
Fresh Pharmacy #802
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL DUCOTE RPH (VP PHARMACY OPERATIONS)
(903) 600-1376
Entity
Organization
Contact information
Practice address
5100 E INTERSTATE 30, FATE, TX 75189
(903) 877-6827
(903) 877-3820
Mailing address
PO BOX 1411, TYLER, TX 75710-1411
(903) 877-6827
(903) 877-3820
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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