Kenneth Walter Brookshire, is a
Pharmacist based in Cove, Oregon. Kenneth Walter Brookshire is licensed to practice in Oregon (license number 7150) and his current practice location is
707 Rose St, Cove, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 805-8689.
NPI number for Kenneth Walter Brookshire is 1265186795 and his current mailing address is Po Box 205, Cove, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265186795.
Healthcare Provider's Profile
| Full Name | Kenneth Walter Brookshire |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
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| Location | 707 Rose St, Cove, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265186795
- Provider Enumeration Date: 02/03/2022
- Last Update Date: 02/03/2022
Medical Identifiers
Medical identifiers for Kenneth Walter Brookshire such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265186795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 7150 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Walter Brookshire is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Walter Brookshire,
Po Box 205,
Cove, OR 97824-0205
Ph: (541) 805-8689 | Kenneth Walter Brookshire,
707 Rose St,
Cove, OR 97824
Ph: (541) 805-8689 |
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