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1396615183 NPI number — BROOKSHIRE BROTHERS INC

NPI Number: 1396615183
Health Care Provider/Practitioner: BROOKSHIRE BROTHERS INC

Information about “1396615183” NPI (BROOKSHIRE BROTHERS INC) exists in 1396615183 in HTML format HTML  |  1396615183 in plain Text format TXT  |  1396615183 in PDF (Portable Document Format) PDF  |  1396615183 in an XML format XML  formats.

NPI Number : 1396615183 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396615183",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BROOKSHIRE BROTHERS INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1201 ELLEN TROUT DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUFKIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75904-1233",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "936-634-8155",
    "MailingAddressFaxNumber": "936-633-4678",
    "FirstLinePracticeLocationAddress": "180 TOWN CENTER BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JARRELL",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76537-4006",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-746-6132",
    "PracticeLocationAddressFaxNumber": "512-746-6133",
    "EnumerationDate": "11/07/2025",
    "LastUpdateDate": "11/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ADKISON",
    "AuthorizedOfficialFirstName": "TONIA",
    "AuthorizedOfficialMiddleName": "LYNN",
    "AuthorizedOfficialTitle": "PHARMACY ADMIN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CPHT",
    "AuthorizedOfficialTelephoneNumber": "936-634-8155",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336C0003X",
        "TaxonomyName": "Community/Retail Pharmacy",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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