| NPI | 1962144949 |
|---|---|
| Doing Business As | PRUITT'S PHARMACY, LLC IN ANTIOCH |
| Entity Type | Organization |
| Authorized Contact | SHAWN D PRUITT Owner 615-562-6337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |