Brookshire Brother'S Pharmacy #59
LBN: Brookshire Brothers Inc
Brookshire Brother'S Pharmacy #59 is an health care organization with primary practice located at 295 Highway 105 E , Sour Lake TX 77659-7783. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Brookshire Brothers Inc can be contacted via phone (409) 287-3525, or through Alston, John via phone (936) 634-8155.
Contact Information
Primary practice address
295 Highway 105 E
Sour Lake TX 77659-7783
Phone: (409) 287-3525
Fax: (409) 287-2295
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 20928 | Texas |
Profile Details
NPI number | 1013017458 |
---|---|
LBN Legal business name | Brookshire Brothers Inc |
DBA Doing business as | Brookshire Brother'S Pharmacy #59 |
Authorized official | Alston, John |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 25th, 2006 |
Last updated | Nov 19th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013017458 | NPPES |
Texas | MEDICAID | 464888 | |
Texas | Other | 2099699 |
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