Brookshire Grocery Company in Tyler - Pharmacy
Brookshire Grocery Company - NPI 1922171495
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 1922171495. The last update date is 2023-03-07.
Brookshire Grocery Company's current location address is Po Box 1411, Tyler, Texas. You can contact this provider via phone number 9035935369 and fax number 9038776909. The mailing address for Brookshire Grocery Company is Po Box 1411, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookshire Grocery Company |
|---|---|
| Address | Po Box 1411, Tyler, Texas |
| Phone Number | 9035935369 |
| Fax Number | 9038776909 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP PHARMAC |
|---|---|
| Authorized Official Name | Cousineau D Jim |
| Credentials | RPH |
| Telephone Number | 9038776829 |
NPI Number Detail
| NPI Number | 1922171495 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 1411 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757101411 |
| Phone Number | 9035935369 |
| Fax Number | 9038776909 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 21365 |
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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 |
|---|---|---|---|
| 1922171495 | NPI | ||
| PH0342 | TX | MEDICARE IMMUNIZATION BILLING- | |
| 21365 | TX | TX STATE BOARD OF PHARMACY LIC | |
| 4521147 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 465110 | TX | -- | |
| J0122303 | TX | TX DPS |
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1922171495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Brookshire Grocery Company's facilities are geographically located?
The facilities of Brookshire Grocery Company are physically situated at the following location: Po Box 1411, Tyler, TX, 757101411.
What is Brookshire Grocery Company's area of expertise and its corresponding taxonomy classification?
The Brookshire Grocery Company's field of specialization is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1922171495 assigned to Brookshire Grocery Company?
The Brookshire Grocery Company was issued its 1922171495 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Brookshire Grocery Company's information last updated?
The Brookshire Grocery Company's information was last updated on 2023-03-07.