Brookshire Grocery Company in Tyler - Community/retail Pharmacy

Brookshire Grocery Company - NPI 1023181351

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 1023181351. 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 1023181351
Provider Enumeration Date 2006-11-16
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 963317
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
1263362 LA --
2033531 PK

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FAQs about Brookshire Grocery Company

What is the unique provider identifier assigned to Brookshire Grocery Company?

The Brookshire Grocery Company has been issued the NPI (National Provider Identifier) 1023181351 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Brookshire Grocery Company?

The Brookshire Grocery Company is physically situated at 1600 W Sw Loop 323, in the city of Tyler, state of TX, with the postal code 757018532.

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 did the Brookshire Grocery Company receive its 1023181351 assignment from the Centers for Medicare & Medicaid Services?

The Brookshire Grocery Company was assigned its 1023181351 by the Centers for Medicare & Medicaid Services on 2006-11-16.

As of what date were the details pertaining to Brookshire Grocery Company last refreshed?

The information related to the Brookshire Grocery Company, including its address, specialty, and other relevant details, was last updated on 2015-12-22.

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