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Brookshire Grocery Company — NPI 1194898429, Brandon, MS | NPI Central

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NPI 1194898429

OrganizationActive

Brookshire Grocery Company

NPI 1194898429 · Community/Retail Pharmacy · Brandon, MS

Provider details

NPI number: 1194898429
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Jim Cousineau, Vp Pharmacy Operations(903) 877-6829

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000XLicense 03697 / 01.2 (MS)
Suppliers

Practice location

143 Plaza Drive Ext

Attention Pharmacy Dept

Brandon, MS 39047

Phone: (601) 992-6873

Fax: (601) 992-9615

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

Po Box 1411

Tyler, TX 75710-1411

Other names (DBA / former)

Doing business as: Brookshires Pharmacy #123

Registry dates

Enumerated: 2006-11-16
Last updated: 2008-02-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.