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NPI 1114032158 · live from the CMS NPI Registry

Brookshire Pharmacy INC

Pharmacy, Community/Retail Pharmacy in Union, OR. National Provider Identifier 1114032158, active.

NPI record

NPI1114032158 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location105 N Main, Union, OR 97883
Practice phone541-562-5441
Mailing addressPo Box 400, Union, OR 97883
EnumeratedAugust 20, 2006
Last updatedMarch 29, 2017
Authorized officialWalt Brookshire, President
Other namesUnion Drug Company

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy333600000X—
Pharmacy, Community/Retail Pharmacy primary3336C0003XRP-0000575 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.