Reasor'S Pharmacy #925

LBN: Brookshire Grocery Company
Reasor'S Pharmacy #925 is an health care organization with primary practice located at 3915 S Peoria Ave , Tulsa OK 74105-3130. 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) 747-9740, or through Ducote, Neil via phone (903) 600-1376.

Contact Information

Primary practice address
3915 S Peoria Ave Tulsa OK 74105-3130
Phone: (918) 747-9740
Fax: (918) 744-8106
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 1831138213
LBN Legal business name Brookshire Grocery Company
DBA Doing business as Reasor'S Pharmacy #925
Authorized official Ducote, Neil
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 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 1831138213 NPPES
Other 2142013 PK
MEDICAID 200114270T PK

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