Local City Search for Medical Equipment Suppliers BROOKSHIRE GROCERY COMPANY
Medical Equipment Supplier Yellow Pages
Rockwall, Texas
Provider NPI: 1366515835
Organization Information:Organization Name: BROOKSHIRE GROCERY COMPANY
Practice Location:
1201 RIDGE RD ATTENTION PHARMACY DEPT ROCKWALL, TX 75087 US
Tel: 972-771-1446 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1201 RIDGE RD ATTENTION PHARMACY DEPT ROCKWALL, TX 75087 US
Tel: 972-771-1446 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
| N | 333600000X | Suppliers Pharmacy | TX | 16076 |
| Y | 3336C0003X | Suppliers Pharmacy |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| NPI | 1366515835 | 01 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4592463 | 01 | |
| DEA | BB4111225 | 01 | |
| TMHP MEDICARE CROSSOVER TO TX MEDICAID | DMEH29026 | TX | 01 |
| TX STATE BOARD OF PHARMACY LICENSE | 16076 | TX | 01 |
| 463949 | TX | 05 | |
| MEDICARE IMMUNIZATION BILLING--TRAILBLAZER | PH0342 | TX | 01 |
| TX DPS | H0089621 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
