Reasor'S Pharmacy #914

LBN: Brookshire Grocery Company
Reasor'S Pharmacy #914 is an health care organization with primary practice located at 1100 E Kenosha St , Broken Arrow OK 74012-2067. 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) 251-1295, or through Ducote, Neil via phone (903) 600-1376.

Contact Information

Primary practice address
1100 E Kenosha St Broken Arrow OK 74012-2067
Phone: (918) 251-1295
Fax: (918) 251-2926
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 1962578625
LBN Legal business name Brookshire Grocery Company
DBA Doing business as Reasor'S Pharmacy #914
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 1962578625 NPPES
Oklahoma MEDICAID 100244970A
Oklahoma Other 2076074

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