Brookshire Grocery Company

NPI #1134292600 in Shreveport, Louisiana

Provider Information

NPI Number
1134292600
Entity Type
Organization
Organization Name
Brookshire Grocery Company
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 15, 2006
Last Updated
Dec 22, 2015

Practice Location

Address
9250 MANSFIELD RD
Address 2
ATTENTION PHARMACY DEPT
ZIP Code
71118-3125
Phone
(318) 686-6311

Authorized Official

Name
JIM COUSINEAU, RPH
Title
VP PHARMACY OPERATIONS
Phone
(903) 877-6514

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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