Brookshire Grocery Company in Tyler - Community/retail Pharmacy
Brookshire Grocery Company - NPI 1790858025
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 1790858025. 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 | 1790858025 |
|---|---|
| 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 | 16797 |
|
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 |
|---|---|---|---|
| 463966 | TX | -- | |
| 2105342 | PK |
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What is the unique identification code assigned to Brookshire Grocery Company by the Centers for Medicare & Medicaid Services?
The Brookshire Grocery Company has been issued the NPI (National Provider Identifier) 1790858025. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
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 specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brookshire Grocery Company's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.
When was the Brookshire Grocery Company's 1790858025 issued?
The Brookshire Grocery Company's 1790858025 was issued on 2006-11-16.
When was the information pertaining to Brookshire Grocery Company most recently updated or revised?
The details related to Brookshire Grocery Company, including its address, specialty, and other relevant information, were last updated or revised on 2016-08-10.
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