Whalio Doctors

NPI 1063252260

Brookshire Grocery Company

Organisation Community/Retail Pharmacy Broken Arrow, OK

Practice location

Address
1914 W. Norfolk Drive, Broken Arrow, OK 74011
Phone
(539) 250-4625
Fax
(539) 250-4693
Mailing address
1600 Ssw Loop 323, Tyler, TX 75701

Authorised official

Name
Ronald Michael Arnett
Title
Evp-Cfo
Phone
(903) 534-3000

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1063252260
Entity type
Organization
NPI issued
28 May 2024
Record last updated
31 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.