Brookshire Grocery Company
NPI #1083787311 in Willow Park, Texas
Provider Information
- NPI Number
- 1083787311
- Entity Type
- Organization
- Organization Name
- Brookshire Grocery Company
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Jun 3, 2016
Practice Location
- Address
- 5118 E I 20 SERVICE RD S
- Address 2
- ATTENTION PHARMACY DEPT
- City
- Willow Park
- State
- Texas
- ZIP Code
- 76008-2630
- Phone
- (817) 441-5982
Authorized Official
- Name
- JIM COUSINEAU, RPH
- Title
- VP PHARMACY OPERATIONS
- Phone
- (903) 877-6514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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