Brookshire Grocery Company
Pharmacy, Community/Retail Pharmacy in Bixby, OK. Organization (NPI-2).
NPI number1194076216
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1194076216
- Entity type
- Organization (NPI-2)
- Legal business name
- Brookshire Grocery Company
- Organization subpart
- No
- Enumeration date
- Sep 28, 2012
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – |
Other names
- Reasor'S Pharmacy #922 (Doing Business As)
- Reasor'S Pharmacy #22 (Doing Business As)
Practice location
11116 S Memorial DrBixby, OK 74008-2038
Phone 918-970-4919 · Fax 918-970-2790
Mailing address
1600 Wsw Loop 323Tyler, TX 75701-8532
Authorized official
Neil Ducote
Vp Pharmacy
9036001376
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