OrganizationActive
Brookshire Grocery Company
NPI 1962578625 · Community/Retail Pharmacy · Broken Arrow, OK
Provider details
- NPI number
- 1962578625
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Neil Ducote, Vp Pharmacy(903) 600-1376
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
1100 E Kenosha St
Broken Arrow, OK 74012-2067
Phone: (918) 251-1295
Fax: (918) 251-2926
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Wsw Loop 323
Tyler, TX 75701-8532
Other names (DBA / former)
- Doing business as
- Reasor'S Pharmacy #914
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2025-05-01
- Certified
- 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.