| NPI | 1023482304 |
|---|---|
| Doing Business As | BROOKSHIRE PHARMACY #029 |
| Entity Type | Organization |
| Authorized Contact | JIM COUSINEAU Sr. VP Pharmacy Ops 903-877-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY007217RC) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-12-10 |