Brookshire Grocery Company in Tyler - Community/retail Pharmacy
Brookshire Grocery Company - NPI 1255404588
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 1255404588. The last update date is 2016-08-10.
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 | 1255404588 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2016-08-10 |
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 | 15885 |
|
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 |
|---|---|---|---|
| 463948 | TX | -- | |
| 2102403 | PK |
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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) 1255404588. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Brookshire Grocery Company's physical address?
The Brookshire Grocery Company is physically located at 1600 W Sw Loop 323, in the city of Tyler, TX, with the postal code 757018532.
What is the Brookshire Grocery Company's area of specialization and corresponding taxonomy classification?
The Brookshire Grocery Company's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255404588 to Brookshire Grocery Company?
The Centers for Medicare & Medicaid Services originally issued the 1255404588 to Brookshire Grocery Company on 2006-11-16.
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 2016-08-10.
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