Brine and Beam INC

NPI #1235608696 in Mounds, Oklahoma

Provider Information

NPI Number
1235608696
Entity Type
Organization
Organization Name
Brine and Beam INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 15, 2018
Last Updated
Nov 15, 2018

Practice Location

Address
1419 COMMERCIAL AVE
City
Mounds
ZIP Code
74047-0580
Phone
(918) 827-6301

Authorized Official

Name
TRAVIS WOLFF
Title
VICE-PRESIDENT
Phone
(918) 306-1839

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Pharmacy - Specialty PharmacySpecialty Pharmacy
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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