NPI 1689773905

Brookshire Brothers INC

Organisation Community/Retail Pharmacy Deridder, LA

Practice location

Address: 1103 W 1st St, Deridder, LA 70634-3705
Phone: (337) 463-2258
Fax: (337) 462-0145

Authorised official

Name: John Alston
Title: Chief Operations Officer
Phone: (936) 634-8155

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 4623 (LA)

Other Pharmacy providers in Louisiana →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1689773905
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 6 Feb 2020

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.