Brookshire Brothers Pharmacy #79
LBN: Brookshire Brothers Inc
Brookshire Brothers Pharmacy #79 is an health care organization with primary practice located at 18275 Fm 306 , Canyon Lake TX 78133. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Brookshire Brothers Inc can be contacted via phone (830) 935-3136, or through Alston, John via phone (936) 634-8155.
Contact Information
Primary practice address
18275 Fm 306
Canyon Lake TX 78133
Phone: (830) 935-3136
Fax: (830) 935-3138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 30252 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1023480555 |
|---|---|
| LBN Legal business name | Brookshire Brothers Inc |
| DBA Doing business as | Brookshire Brothers Pharmacy #79 |
| Authorized official | Alston, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2015 |
| 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 | 1023480555 | NPPES |
| Other | 2154777 | PK | |
| MEDICAID | 468309 | PK |
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