Reasor'S Pharmacy #909

LBN: Brookshire Grocery Company
Reasor'S Pharmacy #909 is an health care organization with primary practice located at 11815 E 86Th St N , Owasso OK 74055-2536. 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) 272-3030, or through Ducote, Neil via phone (903) 600-1376.

Contact Information

Primary practice address
11815 E 86Th St N Owasso OK 74055-2536
Phone: (918) 272-3030
Fax: (918) 272-5353
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 1972679637
LBN Legal business name Brookshire Grocery Company
DBA Doing business as Reasor'S Pharmacy #909
Authorized official Ducote, Neil
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 13th, 2022 - about 4 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 1972679637 NPPES
Oklahoma MEDICAID 100246410A
Oklahoma Other 2081528

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