Brookshire Grocery Company
NPI #1194898429 in Brandon, Mississippi
Provider Information
- NPI Number
- 1194898429
- Entity Type
- Organization
- Organization Name
- Brookshire Grocery Company
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Feb 27, 2008
Practice Location
- Address
- 143 PLAZA DRIVE EXT
- Address 2
- ATTENTION PHARMACY DEPT
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047
- Phone
- (601) 992-6873
Authorized Official
- Name
- JIM D COUSINEAU, RPH
- Title
- VP PHARMACY OPERATIONS
- Phone
- (903) 877-6829
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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