Reasors Pharmacy 17

LBN: Brookshire Grocery Company
Reasors Pharmacy 17 is an health care organization with primary practice located at 2500 N Highway 66 , Catoosa OK 74015-2864. 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) 266-8113, or through Ducote, Neil via phone (903) 600-1376.

Contact Information

Primary practice address
2500 N Highway 66 Catoosa OK 74015-2864
Phone: (918) 266-8113
Fax: (918) 266-8138
Website:
Map and Directions
Authorized official contact:
Name: Ducote, Neil
Phone: (903) 600-1376

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1780750323
LBN Legal business name Brookshire Grocery Company
DBA Doing business as Reasors Pharmacy 17
Authorized official Ducote, Neil
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2006
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 1780750323 NPPES
Oklahoma MEDICAID 100244350C
Oklahoma Other 2077049

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