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Contact Information

BRINE AND BEAM LTC
1419 COMMERCIAL AVE
MOUNDS, OK74047-0580
 Phone: 918-827-6301
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BRINE AND BEAM LTC

NPI Number 1942944756
LBN Legal business name BRINE AND BEAM LTC
Authorized official TROY SIMONS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2022
Last updated 04/27/2022 - About 4 years ago
Identifiers
OK Other 11--8325 OKLAHOMA STATE BOARD OF PHARMACY
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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