OrganizationActive
Brookshire Grocery Company
NPI 1902979479 · Community/Retail Pharmacy · Marshall, TX
Provider details
- NPI number
- 1902979479
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jim Cousineau, Vp Pharmacy Operations(903) 877-6514
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
207 E End Blvd N
Attention Pharmacy Dept
Marshall, TX 75670-3603
Phone: (903) 938-3096
Fax: (903) 938-3097
Approximate (ZIP-level) locationGet directions
Mailing address
1600 W Sw Loop 323
Tyler, TX 75701-8532
Other names (DBA / former)
- Doing business as
- Super 1 Pharmacy
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2015-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.