| NPI | 1659648285 |
|---|---|
| Doing Business As | PRUETTS FOOD-PHARMACY#3 |
| Entity Type | Organization |
| Authorized Contact | SHANNON JEWELANNA PRUETT Pharmacy Director 580-584-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR14401) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2021-01-31 |