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Contact Information

BROOKSHIRE GROCERY COMPANY
1000 W WILL ROGERS BLVD
CLAREMORE, OK74017-5419
 Phone: 918-341-4557
 Fax: 918-343-8735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BROOKSHIRE GROCERY COMPANY

NPI # 1326114083
LBN Legal business name BROOKSHIRE GROCERY COMPANY
Authorized official NEIL DUCOTE - (VP PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2006
Last updated 04/30/2025 - More than a year ago
Identifiers
OK Medicaid 100245650A
Other 2074438 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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