| NPI | 1699205575 |
|---|---|
| Doing Business As | PRUETT'S FOOD-PHARMACY#10 |
| Entity Type | Organization |
| Authorized Contact | SHANNON PRUETT Pharmacy Supervisor 580-584-6056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OK 237926) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-11-28 |