Brookshire Grocery Company in Tulsa - Compounding Pharmacy
Brookshire Grocery Company - NPI 1083807697
Brookshire Grocery Company is a Compounding Pharmacy in Tulsa, Oklahoma. Brookshire Grocery Company practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Brookshire Grocery Company is 1083807697. The last update date is 2022-07-13.
Brookshire Grocery Company's current location address is 420 S 145th East Ave Ste B, Tulsa, Oklahoma. You can contact this provider via phone number 9189478180 and fax number 9189478199. The mailing address for Brookshire Grocery Company is 420 S 145th East Ave Ste B, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookshire Grocery Company |
|---|---|
| Address | 420 S 145th East Ave Ste B, Tulsa, Oklahoma |
| Phone Number | 9189478180 |
| Fax Number | 9189478199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP PHARMAC |
|---|---|
| Authorized Official Name | Ducote Neil |
| Telephone Number | 9036001376 |
NPI Number Detail
| NPI Number | 1083807697 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2022-07-13 |
Provider Mailing Address Detail
| Address | 420 S 145th East Ave Ste B |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741081305 |
| Phone Number | 9189478180 |
| Fax Number | 9189478199 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2077140 | PK | ||
| 100244350H | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brookshire Grocery Company by the Centers for Medicare & Medicaid Services?
The Brookshire Grocery Company has been issued the NPI (National Provider Identifier) 1083807697 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Brookshire Grocery Company's facilities are situated?
The facilities of Brookshire Grocery Company are physically located at the following address: 420 S 145Th East Ave Ste B, Tulsa, OK, 741081305.
What is Brookshire Grocery Company's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brookshire Grocery Company's specialized field of practice is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0004X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083807697 to Brookshire Grocery Company?
The Centers for Medicare & Medicaid Services originally issued the 1083807697 to Brookshire Grocery Company on 2007-08-27.
As of what date were the details related to Brookshire Grocery Company most recently updated or revised?
The information pertaining to Brookshire Grocery Company, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-13.