Organization

Brookshire Grocery Company

May also be knows as Reasor'S Pharmacy #925

Community/Retail Pharmacy in Tulsa, OK(View on Map)

Legal Business Name

Brookshire Grocery Company

Also Known As

Reasor'S Pharmacy #925

NPI Number

1831138213

NPI Type

Organization

Enumeration Date

06/04/2006

Specialties

(Taxonomies)

Code

3336C0003X
333600000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

420 S 145TH EAST AVE STE B
3915 S PEORIA AVE

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74108-1305
74105-3130

Country

US
US

Telephone Number

(918) 947-8180
(918) 747-9740

Authorized Official

Name

Neil Ducote

Title or Position

VP PHARMACY

Telephone Number

(903) 600-1376

Identifiers

Identifier

2142013
200114270T

Identifier State

Unknown
OK

Identifier Issuer

PK
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/13/2022

Provider Address

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