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BROOKSHIRE GROCERY COMPANY

Medical Equipment Supplier Yellow Pages

Tyler, Texas

Provider NPI: 1003989336

Organization Information:
Organization Name:  BROOKSHIRE GROCERY COMPANY


Practice Location:
2734 E 5TH ST ATTENTION PHARMACY DEPT TYLER, TX 75701 US
Tel: 903-526-4092  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
TX19207

Other Provider Identifiers:

IssuerNumberStateType
464236TX05
PK209638501
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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