Provider Demographics
NPI:1932899341
Name:B&R HEALTHCARE OKC, LLC
Entity Type:Organization
Organization Name:B&R HEALTHCARE OKC, LLC
Other - Org Name:VITAL CARE OF OKLAHOMA CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALFITI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-832-1202
Mailing Address - Street 1:6501 BROADWAY EXT STE 100
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-8234
Mailing Address - Country:US
Mailing Address - Phone:405-832-3510
Mailing Address - Fax:405-832-3515
Practice Address - Street 1:6501 BROADWAY EXT STE 100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-8234
Practice Address - Country:US
Practice Address - Phone:405-832-3510
Practice Address - Fax:405-832-3515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy