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Durable Medical Equipment, Dialysis Supplies
Nursing Facility Supplies, Customized Equipment

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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N333600000XSuppliers
Pharmacy
TX16076
Y3336C0003XSuppliers
Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
NPI136651583501
OTHER ID NUMBER-COMMERCIAL NUMBER459246301
DEABB411122501
TMHP MEDICARE CROSSOVER TO TX MEDICAIDDMEH29026TX01
TX STATE BOARD OF PHARMACY LICENSE16076TX01
463949TX05
MEDICARE IMMUNIZATION BILLING--TRAILBLAZERPH0342TX01
TX DPSH0089621TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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