Brookshires Pharmacy
LBN: Brookshire Grocery Company
Brookshires Pharmacy is an health care organization with primary practice located at 5118 E I 20 Service Rd S Attention Pharmacy Dept, Willow Park TX 76008-2630. 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 Grocery Company can be contacted via phone (817) 441-5982, or through Cousineau, Jim via phone (903) 877-6514.
Contact Information
Primary practice address
5118 E I 20 Service Rd S Attention Pharmacy Dept
Willow Park TX 76008-2630
Phone: (817) 441-5982
Fax: (817) 441-5011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 22020 | Texas |
Profile Details
| NPI number | 1083787311 |
|---|---|
| LBN Legal business name | Brookshire Grocery Company |
| DBA Doing business as | Brookshires Pharmacy |
| Authorized official | Cousineau, Jim RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jun 3rd, 2016 - about 8 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 | 1083787311 | NPPES |
| Texas | MEDICAID | 465241 | |
| Texas | Other | 2097773 |
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