Brookshire Grocery Company in Tyler - Pharmacy
Brookshire Grocery Company - NPI 1972676443
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 1972676443. The last update date is 2015-12-10.
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 | 1972676443 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2015-12-10 |
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 |
|---|---|---|---|
| 1995382 | PK | ||
| 123908407 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brookshire Grocery Company?
The Brookshire Grocery Company has been issued the NPI (National Provider Identifier) 1972676443 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brookshire Grocery Company?
The Brookshire Grocery Company is physically situated at 1600 W Sw Loop 323, in the city of Tyler, state of 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 was the 1972676443 assigned to Brookshire Grocery Company?
The Brookshire Grocery Company was issued its 1972676443 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Brookshire Grocery Company most recently updated or revised?
The information pertaining to Brookshire Grocery Company, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-10.