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
223 ELIZABETH ST, MANY, LA 71449-3082
(318) 256-1148
(318) 256-1169
Mailing address
223 ELIZABETH ST, MANY, LA 71449-3082
(318) 256-1148
(318) 256-1169
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5964
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1223425
—
LA
01
—
2035604
PK
—
Enumeration date
02/08/2008
Last updated
12/31/2015
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