Organization · Type 2 NPI

Brookshire Brothers Inc

Community/Retail Pharmacy · Canyon Lake, TX

NPI number 1023480555 Active

Practice location

18275 FM 306
Canyon Lake, TX 78133

Call (830) 935-3136 Map

Fax (830) 935-3138

Mailing address

1201 Ellen Trout Dr
Lufkin, TX 75904-1233

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	30252 (TX)
Compounding Pharmacy	3336C0004X	None listed
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Another provider at this address

Ronny Ray RozellPharmacist Canyon Lake, TX NPI 1033713052

NPI record

NPI: 1023480555
Entity type: Organization (Type 2)
Issued: Oct 23, 2015
Last updated: Nov 19, 2020
Status: Active

Other names

<unavail>
Brookshire Brothers Pharmacy #79 · doing business as
Brookshire Brothers Pharmacy #79 · doing business as

Authorized official

John Alston
President CEO
(936) 634-8155

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023480555

Brookshire Brothers Inc's National Provider Identifier is 1023480555, issued on Oct 23, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Canyon Lake, TX. The record was last updated on Nov 19, 2020.