Brookshire Grocery Company in Tyler - Community/retail Pharmacy

Brookshire Grocery Company - NPI 1760555239

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 1760555239. The last update date is 2015-12-22.

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 1760555239
Provider Enumeration Date 2006-11-15
Last Updated Date 2015-12-22

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 Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 4916
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
1269395 LA --
2035070 PK

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FAQs about Brookshire Grocery Company

What is the unique identifier code issued to Brookshire Grocery Company by the Centers for Medicare & Medicaid Services (CMS)?

The Brookshire Grocery Company has been assigned the NPI (National Provider Identifier) 1760555239. This 10-digit code serves as a unique identification number for healthcare providers, issued by the 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: 1600 W Sw Loop 323, Tyler, TX, 757018532.

What is the area of specialization for Brookshire Grocery Company, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Brookshire Grocery Company is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.

On what date did the Brookshire Grocery Company receive its 1760555239 assignment from the Centers for Medicare & Medicaid Services?

The Brookshire Grocery Company was assigned its 1760555239 by the Centers for Medicare & Medicaid Services on 2006-11-15.

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 2015-12-22.

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