Reasor'S Pharmacy #902
LBN: Brookshire Grocery Company
Reasor'S Pharmacy #902 is an health care organization with primary practice located at 2001 S Muskogee Ave , Tahlequah OK 74464-5454. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, 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) 456-6103, or through Ducote, Neil via phone (903) 600-1376.
Contact Information
Primary practice address
2001 S Muskogee Ave
Tahlequah OK 74464-5454
Phone: (918) 456-6103
Fax: (918) 456-6118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 36-5429 | Oklahoma |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1699841353 |
|---|---|
| LBN Legal business name | Brookshire Grocery Company |
| DBA Doing business as | Reasor'S Pharmacy #902 |
| Authorized official | Ducote, Neil |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jul 12th, 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 | 1699841353 | NPPES |
| Other | 2073355 | PK | |
| MEDICAID | 100244350A | PK |
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