Brookshire Grocery Company in Tyler - Community/retail Pharmacy
Brookshire Grocery Company - NPI 1548333016
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 1548333016. 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 2545629331 and fax number 9038773820. 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 | 2545629331 |
| 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 | 1548333016 |
|---|---|
| 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 | 2545629331 |
| 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PH0342 | TX | MEDICARE IMMUNIZATION BILLING- | |
| 463953 | TX | -- | |
| 4591548 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 1548333016 | NPI | ||
| B0088527 | TX | TX DPS | |
| DME00T076 | TX | TMHP MEDICARE CROSSOVER TO TX | |
| 15944 | TX | TX STATE BOARD OF PHARMACY LIC |
Post Comment/ Review Below
What is the unique identifier 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) 1548333016. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
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 specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brookshire Grocery Company is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.
When was the Brookshire Grocery Company's 1548333016 issued?
The Brookshire Grocery Company's 1548333016 was issued on 2006-11-15.
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 2023-03-07.
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