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Brookshire Grocery Company
Community/Retail Pharmacy in Rockwall, Texas
NPI 1366515835

Brookshire Grocery Company is a Community/Retail Pharmacy based in Tyler, TX and is specialized in Community/Retail Pharmacy. Brookshire Grocery Company practices in Rockwall, TX. The NPI Number for Brookshire Grocery Company is 1366515835 and holds a License No. (Texas).

The current practice location address for Brookshire Grocery Company is 1201 Ridge Rd, Rockwall, TX and can be reached out via phone at 972-771-1446 and via fax at 972-722-8092.

Location: 1201 Ridge Rd, Rockwall, TX, 75710-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366515835
Provider Name
Brookshire Grocery Company
Credential
Provider Entity Type
Organization
Address
1201 Ridge Rd, Rockwall, TX, 75710-1411
Phone Number
972-771-1446
Fax Number
972-722-8092
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366515835 01 NPI
PH0342 01 TX MEDICARE IMMUNIZATION BILLING--TRAILBLAZER
4592463 01 OTHER ID NUMBER-COMMERCIAL NUMBER
DMEH29026 01 TX TMHP MEDICARE CROSSOVER TO TX MEDICAID
16076 01 TX TX STATE BOARD OF PHARMACY LICENSE
463949 05 TX
H0089621 01 TX TX DPS
institution
Provider Business Practice Location Address Details
Address
1201 Ridge Rd
City
Rockwall
State
Texas
Zip
75087-4242
Phone Number
972-771-1446
Fax Number
972-722-8092
person
Provider Business Mailing Address Details
Address
1201 Ridge Rd
City
Rockwall
State
Texas
Zip
75087-4242
Phone Number
972-771-1446
Fax Number
972-722-8092
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
16076 (Texas)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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