Brookshire Grocery Company in Tyler - Pharmacy
Brookshire Grocery Company - NPI 1629141197
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 1629141197. The last update date is 2008-02-28.
Brookshire Grocery Company's current location address is Po Box 1411, Tyler, Texas. You can contact this provider via phone number 9723908397 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 | 9723908397 |
| 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 | 1629141197 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2008-02-28 |
Provider Mailing Address Detail
| Address | Po Box 1411 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757101411 |
| Phone Number | 9723908397 |
| Fax Number | 9038776909 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 16794 |
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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 |
|---|---|---|---|
| 4595483 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 463963 | TX | -- |
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) 1629141197 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Brookshire Grocery Company is located?
The Brookshire Grocery Company is situated at the following address: 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 did the Brookshire Grocery Company receive its 1629141197 assignment from the Centers for Medicare & Medicaid Services?
The Brookshire Grocery Company was assigned its 1629141197 by the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date were the Brookshire Grocery Company's details last updated?
The information pertaining to the Brookshire Grocery Company, including its address, specialty, and other details, was most recently updated on 2008-02-28.
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