OrganizationActive
Brine and Beam Inc
NPI 1235608696 · Community/Retail Pharmacy · Mounds, OK
Provider details
- NPI number
- 1235608696
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Travis Wolff, Vice-President(918) 306-1839
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
1419 Commercial Ave
Mounds, OK 74047-0580
Phone: (918) 827-6301
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 580
Mounds, OK 74047-0580
Other names (DBA / former)
- Doing business as
- Apothecary Pharmacy
Registry dates
- Enumerated
- 2018-11-15
- Last updated
- 2018-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.