Brookshire Grocery Company in Tulsa - Compounding Pharmacy
Brookshire Grocery Company - NPI 1780750448
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 1780750448. 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 | 1780750448 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| 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 |
|---|---|---|---|
| 100246730A | OK | -- | |
| 2076403 | PK |
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What is the unique provider identifier assigned to Brookshire Grocery Company?
The Brookshire Grocery Company has been issued the NPI (National Provider Identifier) 1780750448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Brookshire Grocery Company located?
The Brookshire Grocery Company is located at 420 S 145Th East Ave Ste B, Tulsa, OK 741081305.
What is Brookshire Grocery Company's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brookshire Grocery Company is Compounding Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0004X.
When was the Brookshire Grocery Company's 1780750448 issued?
The Brookshire Grocery Company's 1780750448 was issued on 2006-11-27.
When was the information regarding Brookshire Grocery Company, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brookshire Grocery Company, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-13.