| NPI | 1114090446 |
|---|---|
| Doing Business As | BROOKSHIRES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JIM COUSINEAU VP Pharmacy Operations 903-877-6514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 3294) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2015-12-22 |