Local City Search for Medical Equipment Suppliers BROOKSHIRE GROCERY COMPANY
Medical Equipment Supplier Yellow Pages
Grand Saline, Texas
Provider NPI: 1285707752
Organization Information:Organization Name: BROOKSHIRE GROCERY COMPANY
Practice Location:
205 W FRANK ST ATTENTION PHARMACY DEPT GRAND SALINE, TX 75140 US
Tel: 903-962-4063 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:
205 W FRANK ST ATTENTION PHARMACY DEPT GRAND SALINE, TX 75140 US
Tel: 903-962-4063 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
| Y | 3336C0003X | Suppliers Pharmacy | TX | 25127 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 145708 | TX | 05 | |
| TX DPS | R0148456 | TX | 01 |
| NPI | 1285707752 | 01 | |
| DEA | BB9987326 | 01 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4542608 | 01 | |
| MEDICARE IMMUNIZATION BILLING--TRAILBLAZER | PH0342 | TX | 01 |
| TX STATE BOARD OF PHARMACY LICENSE | 25127 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
