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BROOKSHIRE GROCERY COMPANY NPI 1326111899


NPI Information

NPI: 1326111899
Provider Name: BROOKSHIRE GROCERY COMPANY

Doing Business As: SUPER 1 FOODS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
5805 DOLLARWAY RD
ATTENTION PHARMACY DEPT
PINE BLUFF, AR
ZIP 71602
Phone: (870) 247-5854
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BROOKSHIRE GROCERY COMPANY is a community/retail pharmacy pharmacy in Pine Bluff, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BROOKSHIRE GROCERY COMPANY NPI is 1326111899. The provider is registered as an organization entity type.
The provider Is Doing Business As Super 1 Foods Pharmacy.

The provider's business location address is:

5805 DOLLARWAY RD
ATTENTION PHARMACY DEPT
PINE BLUFF, AR
ZIP 71602-824
Phone: (870) 247-5854
Fax: (870) 247-1782

The provider's authorized official is Jim Cousineau .
The authorized official title is Vp Pharmacy Operations and has the following contact phone number (903) 877-6514.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy0420005ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1130899407MEDICAIDARKANSAS
21988192OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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