Super One

LBN: Brookshire Grocery Company
Super One is an health care organization with primary practice located at 3916 Ne Evangeline Trwy , Carencro LA 70520-5972. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Brookshire Grocery Company can be contacted via phone (337) 886-3660, or through Cousineau, Jim via phone (903) 877-6829.

Contact Information

Primary practice address
3916 Ne Evangeline Trwy Carencro LA 70520-5972
Phone: (337) 886-3660
Fax: (337) 886-3661
Website:
Map and Directions
Authorized official contact:
Name: Cousineau, Jim
Phone: (903) 877-6829

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.006495-RC Louisiana

Profile Details

NPI number 1003182122
LBN Legal business name Brookshire Grocery Company
DBA Doing business as Super One
Authorized official Cousineau, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2012
Last updated Jul 19th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003182122 NPPES
Other 2134197 PK

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