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BROOKSHIRE GROCERY COMPANY NPI 1518300086


NPI Information

NPI: 1518300086
Provider Name: BROOKSHIRE GROCERY COMPANY

Doing Business As: BROOKSHIRE PHARMACY #88

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2300 W ENNIS AVE
ENNIS, TX
ZIP 75119
Phone: (972) 875-4607
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BROOKSHIRE GROCERY COMPANY is a community/retail pharmacy pharmacy in Ennis, TX. 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 1518300086. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookshire Pharmacy #88.

The provider's business location address is:

2300 W ENNIS AVE
ENNIS, TX
ZIP 75119-039
Phone: (972) 875-4607
Fax: (972) 875-2060

The provider's authorized official is Jim Cousineau .
The authorized official title is Sr Vp Pharmacy Ops and has the following contact phone number (903) 877-6829.

The enumeration date for this NPI number is 4/15/2013 and was last updated on 7/30/2013.


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 Pharmacy28377TEXASYes

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
12139824OTHERPK

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: 4/28/2024

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