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General NPI Number Information
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NPI Number | 1417310723
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Entity Type | Organization
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Legal Business Name | BROOKSHIRE BROTHERS INC
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 9295 HIGHWAY 6
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City | MERIDIAN
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State | TX
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Zip | 76665-3027
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Country | US
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Telephone | 254-435-2799
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Fax | 254-435-2788
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Provider Business Mailing Address
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Address Line | 9295 HIGHWAY 6
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City | MERIDIAN
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State | TX
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Zip | 76665
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Country | US
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Telephone | 254-435-2799
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Fax | 254-435-2788
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Authorized Official
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Title or Position | COO
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Name | JOHN ALSTON
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Credential |
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Telephone | 936-634-8155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 30698
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License Number State | TX
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