Super 1 Pharmacy #645

LBN: Brookshire Grocery Company
Super 1 Pharmacy #645 is an health care organization with primary practice located at 1500 Bonin Rd , Youngsville LA 70592-5102. 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 (337) 573-6177, or through Brookshire, Trent D via phone (903) 534-3000.

Contact Information

Primary practice address
1500 Bonin Rd Youngsville LA 70592-5102
Phone: (337) 573-6177
Fax: (337) 837-5072
Website:
Map and Directions
Authorized official contact:
Name: Brookshire, Trent D
Phone: (903) 534-3000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 007545 Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X 007545 Louisiana

Profile Details

NPI number 1295248672
LBN Legal business name Brookshire Grocery Company
DBA Doing business as Super 1 Pharmacy #645
Authorized official Brookshire, Trent D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2017
Last updated Nov 8th, 2017 - about 7 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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