| NPI | 1881124766 |
|---|---|
| Doing Business As | PRUETT'S FOOD-PHARMACY#8 |
| Entity Type | Organization |
| Authorized Contact | SHANNON PRUETT Pharmacy Supervisor 580-236-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OK 277924) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-06-28 |