Brookshire Grocery Company in Tyler - Pharmacy
Brookshire Grocery Company - NPI 1194898429
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 1194898429. The last update date is 2008-02-27.
Brookshire Grocery Company's current location address is Po Box 1411, Tyler, Texas. You can contact this provider via phone number 6019926873 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 | 6019926873 |
| 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 | 1194898429 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | Po Box 1411 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757101411 |
| Phone Number | 6019926873 |
| Fax Number | 9038776909 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 03697 / 01.2 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2521121 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 330684 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brookshire Grocery Company by the Centers for Medicare & Medicaid Services?
The Brookshire Grocery Company has been issued the NPI (National Provider Identifier) 1194898429, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brookshire Grocery Company is physically located?
The Brookshire Grocery Company is physically situated at the following address: Po Box 1411, Tyler, TX, 757101411.
What is Brookshire Grocery Company's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brookshire Grocery Company is Pharmacy, and the taxonomy code that categorizes this field of expertise is 333600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194898429 to Brookshire Grocery Company?
The Centers for Medicare & Medicaid Services assigned the 1194898429 to Brookshire Grocery Company on 2006-11-16.
As of what date was the information regarding Brookshire Grocery Company, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brookshire Grocery Company, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-27.
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