Reasor'S Pharmacy #918
LBN: Brookshire Grocery Company
Reasor'S Pharmacy #918 is an health care organization with primary practice located at 11550 N 135Th East Ave , Owasso OK 74055-5739. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Brookshire Grocery Company can be contacted via phone (918) 371-6455, or through Ducote, Neil via phone (903) 600-1376.
Contact Information
Primary practice address
11550 N 135Th East Ave
Owasso OK 74055-5739
Phone: (918) 371-6455
Fax: (918) 371-6453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1083807697 |
|---|---|
| LBN Legal business name | Brookshire Grocery Company |
| DBA Doing business as | Reasor'S Pharmacy #918 |
| Authorized official | Ducote, Neil |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2007 |
| Last updated | Jul 13th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083807697 | NPPES |
| Other | 2077140 | PK | |
| MEDICAID | 100244350H | PK |
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