Brine and Beam LTC
Organization Active NPI Long Term Care Pharmacy · Mounds, OK
NPI 1942944756 · NPPES record last updated Apr 27, 2022
Key facts
- NPI
- 1942944756
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- BRINE AND BEAM LTC
- Practice address
- 1419 Commercial Ave
Mounds, OK 74047-0580 - Phone
- (918) 827-6301
- NPI assigned
- Apr 27, 2022
- Organization subpart
- No
Authorized official
- Name
- Troy Simons
- Title
- President
- Phone
- (405) 742-8099
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
1419 Commercial Ave
Mounds, OK 74047-0580
Mailing address
PO Box 580
Mounds, OK 74047-0580
Phone (918) 827-6301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11--8325 | Other | OK | OKLAHOMA STATE BOARD OF PHARMACY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.moundspharmacy.com |
Other providers in Mounds, OK
- Deborah Jo Alexander
- Misty Bilby
- Brine and Beam Inc
- Floyd Denard Butler
- Kristen Carter
- Dee Gloved, LLC
- David Deere
- Elite Transit LLC
All providers in Mounds, OK · Long Term Care Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.