Provider Demographics
NPI:1649461443
Name:BROOKFIELD PHARMACY LLC
Entity type:Organization
Organization Name:BROOKFIELD PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DRUMGOOLE
Authorized Official - Suffix:SR
Authorized Official - Credentials:RPH
Authorized Official - Phone:281-807-5544
Mailing Address - Street 1:18720 TOMBALL PKWY # A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4276
Mailing Address - Country:US
Mailing Address - Phone:281-807-5544
Mailing Address - Fax:281-807-5831
Practice Address - Street 1:18720 TOMBALL PKWY # A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4276
Practice Address - Country:US
Practice Address - Phone:281-807-5544
Practice Address - Fax:281-807-5831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX254283336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy