Brookshires Pharmacy #59

LBN: Brookshire Grocery Company
Brookshires Pharmacy #59 is an health care organization with primary practice located at 1201 Ridge Rd Attention Pharmacy Dept, Rockwall TX 75087-4242. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Brookshire Grocery Company can be contacted via phone (972) 771-1446, or through Cousineau, Jim D via phone (903) 877-6829.

Contact Information

Primary practice address
1201 Ridge Rd Attention Pharmacy Dept Rockwall TX 75087-4242
Fax: (972) 722-8092
Website:
Authorized official contact:
Name: Cousineau, Jim D RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 16076 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1366515835
LBN Legal business name Brookshire Grocery Company
DBA Doing business as Brookshires Pharmacy #59
Authorized official Cousineau, Jim D RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366515835 NPPES
Other 1366515835 NPI
Other PH0342 NPI
Other 4592463 NPI
Other DMEH29026 NPI
Other 16076 NPI
MEDICAID 463949 NPI
Other H0089621 NPI

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