| NPI | 1033592514 |
|---|---|
| Doing Business As | BROOKSHIRE PHARMACY #034 |
| 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 007138) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-22 |