Brookshires Pharmacy #120
LBN: Brookshire Grocery Company
Brookshires Pharmacy #120 is an health care organization with primary practice located at 7045 Old Canton Rd Attention Pharmacy Dept, Ridgeland MS 39157-1036. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Brookshire Grocery Company can be contacted via phone (601) 856-0977, or through Cousineau, Jim D via phone (903) 877-6829.
Contact Information
Primary practice address
7045 Old Canton Rd Attention Pharmacy Dept
Ridgeland MS 39157-1036
Phone: (601) 856-0977
Fax: (601) 856-1492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 03594 / 01.2 | Mississippi |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1588737050 |
|---|---|
| LBN Legal business name | Brookshire Grocery Company |
| DBA Doing business as | Brookshires Pharmacy #120 |
| Authorized official | Cousineau, Jim D RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Feb 27th, 2008 - about 16 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 | 1588737050 | NPPES |
| Other | 2521094 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 0330685 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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