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Brookshire Grocery Company
Community/Retail Pharmacy in Tyler, Texas
NPI 1922171495

Brookshire Grocery Company is a Community/Retail Pharmacy based in Tyler, TX and is specialized in Community/Retail Pharmacy. Brookshire Grocery Company practices in Tyler, TX. The NPI Number for Brookshire Grocery Company is 1922171495 and holds a License No. (Texas).

The current practice location address for Brookshire Grocery Company is 113 N Northwest Loop 323, Tyler, TX and can be reached out via phone at 903-593-5369 and via fax at 903-593-3490.

Location: 113 N Northwest Loop 323, Tyler, TX, 75710-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922171495
Provider Name
Brookshire Grocery Company
Credential
Provider Entity Type
Organization
Address
113 N Northwest Loop 323, Tyler, TX, 75710-1411
Phone Number
903-593-5369
Fax Number
903-593-3490
Provider Enumeration Date
11/15/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1922171495 01 NPI
PH0342 01 TX MEDICARE IMMUNIZATION BILLING-TRAILBLAZER
21365 01 TX TX STATE BOARD OF PHARMACY LICENSE
4521147 01 OTHER ID NUMBER-COMMERCIAL NUMBER
465110 05 TX
J0122303 01 TX TX DPS
institution
Provider Business Practice Location Address Details
Address
113 N Northwest Loop 323
City
Tyler
State
Texas
Zip
75702-8725
Phone Number
903-593-5369
Fax Number
903-593-3490
person
Provider Business Mailing Address Details
Address
113 N Northwest Loop 323
City
Tyler
State
Texas
Zip
75702-8725
Phone Number
903-593-5369
Fax Number
903-593-3490
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.
21365 (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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