NPI 1033282504

Brookshire Grocery Company

Organisation Community/Retail Pharmacy Homer, LA

Practice location

Address: 817 W Main St Attention Pharmacy Dept, Homer, LA 71040-3322
Phone: (318) 927-3537
Fax: (318) 927-6400
Mailing address: 1600 W SW Loop 323 PO Box 1411, Tyler, TX 75701-8532

Authorised official

Name: Jim Cousineau
Title: Vp Pharmacy Operations
Phone: (903) 877-6514

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 4300 (LA)

Other Pharmacy providers in Louisiana →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1033282504
Entity type: Organization
NPI issued: 15 Nov 2006
Record last updated: 22 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.