| NPI | 1467972539 |
|---|---|
| Doing Business As | PRUETT'S FOOD-PHARMACY#7 |
| Entity Type | Organization |
| Authorized Contact | SHANNON PRUETT Pharmacy Supervisor 580-236-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 15-7923) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2021-11-28 |