Organization
REASORS LLC
Active
Other names
Reasor's Pharmacy #24
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY BECKER (DIRECTOR OF PHARMACY)
(918) 720-2240
Entity
Organization
Contact information
Practice address
11214 E 71ST ST, TULSA, OK 74133-2554
(918) 459-2538
(918) 249-8120
Mailing address
200 W CHOCTAW ST, TAHLEQUAH, OK 74464-3808
(918) 947-8180
(918) 947-8199
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26413
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142014
PK
—
Enumeration date
06/07/2006
Last updated
06/18/2015
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