Reasor'S Pharmacy #903

LBN: Brookshire Grocery Company
Reasor'S Pharmacy #903 is an health care organization with primary practice located at 132 W Taft Ave , Sapulpa OK 74066-5433. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Brookshire Grocery Company can be contacted via phone (918) 224-3600, or through Ducote, Neil via phone (903) 600-1376.

Contact Information

Primary practice address
132 W Taft Ave Sapulpa OK 74066-5433
Phone: (918) 224-3600
Fax: (918) 224-3902
Website:
Map and Directions
Authorized official contact:
Name: Ducote, Neil
Phone: (903) 600-1376

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1679707095
LBN Legal business name Brookshire Grocery Company
DBA Doing business as Reasor'S Pharmacy #903
Authorized official Ducote, Neil
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2009
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679707095 NPPES
Other 2120002 PK
MEDICAID 100244350I PK

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