Reasor'S Pharmacy #22
LBN: Brookshire Grocery Company
Reasor'S Pharmacy #22 is an health care organization with primary practice located at 11116 S Memorial Dr , Bixby OK 74008-2038. The organization recently has 3 registered licenses in different health care specialties including 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) 970-4919, or through Ducote, Neil via phone (903) 600-1376.
Contact Information
Primary practice address
11116 S Memorial Dr
Bixby OK 74008-2038
Phone: (918) 970-4919
Fax: (918) 970-2790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1194076216 |
|---|---|
| LBN Legal business name | Brookshire Grocery Company |
| DBA Doing business as | Reasor'S Pharmacy #22 |
| Authorized official | Ducote, Neil |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2012 |
| 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 | 1194076216 | NPPES |
| Other | 2137130 | PK | |
| MEDICAID | 100244350N | PK |
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