OrganizationActive
Brookshire Grocery Company
NPI 1295248672 · Community/Retail Pharmacy · Youngsville, LA
Provider details
- NPI number
- 1295248672
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Trent Brookshire, Exec Vp-Corporate Development(903) 534-3000
- License
- 007545 (LA)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
1500 Bonin Rd
Youngsville, LA 70592-5102
Phone: (337) 573-6177
Fax: (337) 837-5072
Approximate (ZIP-level) locationGet directions
Mailing address
1500 Bonin Rd
Youngsville, LA 70592-5102
Other names (DBA / former)
- Doing business as
- Super 1 Pharmacy #645
Registry dates
- Enumerated
- 2017-11-08
- Last updated
- 2017-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.