Brookshire Grocery Company in Tyler - Community/retail Pharmacy
Brookshire Grocery Company - NPI 1366515835
Brookshire Grocery Company is a Community/retail Pharmacy in Tyler, Texas. Brookshire Grocery Company practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Brookshire Grocery Company is 1366515835. The last update date is 2023-03-07.
Brookshire Grocery Company's current location address is Po Bo X 1411, Tyler, Texas. You can contact this provider via phone number 9727711446 and fax number 9038773820. The mailing address for Brookshire Grocery Company is Po Bo X 1411, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookshire Grocery Company |
|---|---|
| Address | Po Bo X 1411, Tyler, Texas |
| Phone Number | 9727711446 |
| Fax Number | 9038773820 |
| 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 | 1366515835 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Bo X 1411 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757101411 |
| Phone Number | 9727711446 |
| Fax Number | 9038773820 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1366515835 | NPI | ||
| PH0342 | TX | MEDICARE IMMUNIZATION BILLING- | |
| 4592463 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| DMEH29026 | TX | TMHP MEDICARE CROSSOVER TO TX | |
| 16076 | TX | TX STATE BOARD OF PHARMACY LIC | |
| 463949 | TX | -- | |
| H0089621 | TX | TX DPS |
Post Comment/ Review Below
What is the Brookshire Grocery Company's unique identification number?
The Brookshire Grocery Company has been assigned the NPI (National Provider Identifier) Number 1366515835 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Brookshire Grocery Company located?
The Brookshire Grocery Company is located at Po Bo X 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 Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1366515835 assigned to Brookshire Grocery Company?
The Brookshire Grocery Company was issued its 1366515835 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 information regarding Brookshire Grocery Company most recently updated?
The details pertaining to the Brookshire Grocery Company, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.