OrganizationActive
Brookshire Grocery Company
NPI 1194076216 · Community/Retail Pharmacy · Bixby, OK
Provider details
- NPI number
- 1194076216
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Authorized official
- Neil Ducote, Vp Pharmacy
Practice location
11116 S Memorial Dr
Bixby, OK 74008-2038
Phone: (918) 970-4919
Fax: (918) 970-2790
Mailing address
1600 Wsw Loop 323
Tyler, TX 75701-8532
Registry dates
- Enumerated
- 2012-09-28
- Last updated
- 2025-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.