Brookshire Grocery Company in Tyler - Pharmacy
Brookshire Grocery Company - NPI 1144393612
Brookshire Grocery Company is a Pharmacy in Tyler, Texas. Brookshire Grocery Company practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Brookshire Grocery Company is 1144393612. The last update date is 2015-12-22.
Brookshire Grocery Company's current location address is 1600 W Sw Loop 323, Tyler, Texas. You can contact this provider via phone number 9038776827 and fax number 9038773820. The mailing address for Brookshire Grocery Company is 1600 W Sw Loop 323, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookshire Grocery Company |
|---|---|
| Address | 1600 W Sw Loop 323, Tyler, Texas |
| Phone Number | 9038776827 |
| Fax Number | 9038773820 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP PHARMAC |
|---|---|
| Authorized Official Name | Cousineau Jim |
| Credentials | RPH |
| Telephone Number | 9038776514 |
NPI Number Detail
| NPI Number | 1144393612 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2015-12-22 |
Provider Mailing Address Detail
| Address | 1600 W Sw Loop 323 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757018532 |
| Phone Number | 9038776827 |
| Fax Number | 9038773820 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2032969 | PK | ||
| 1261513 | LA | -- |
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What is the unique 10-digit identifier code issued to Brookshire Grocery Company by the Centers for Medicare & Medicaid Services?
The Brookshire Grocery Company has been assigned the NPI (National Provider Identifier) 1144393612 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Brookshire Grocery Company's physical address?
The Brookshire Grocery Company is physically located at 1600 W Sw Loop 323, in the city of Tyler, TX, with the postal code 757018532.
What is the Brookshire Grocery Company's specialty and taxonomy code?
The Brookshire Grocery Company's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date did the Brookshire Grocery Company receive the assignment of its 1144393612 from the Centers for Medicare & Medicaid Services?
The Brookshire Grocery Company was issued its 1144393612 by the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the information regarding Brookshire Grocery Company, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brookshire Grocery Company, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-12-22.