| NPI | 1255902094 |
|---|---|
| Doing Business As | PRUITTS PHARMACY AT CAYCE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAWN D PRUITT Owner 615-562-6337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-02 |