| NPI | 1205909777 |
|---|---|
| Doing Business As | BROOKSHIRES PHARMACY #122 |
| Entity Type | Organization |
| Authorized Contact | JIM D COUSINEAU VP Pharmacy Operations 903-877-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: MS 03698 / 01.2) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-02-27 |