MS. Shannon Jewelanna Pruett, D.PH.

NPI #1033118286 in Broken Bow, Oklahoma

Provider Information

NPI Number: 1033118286
Entity Type: Individual
Name: MS. Shannon Jewelanna Pruett, D.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: D.PH.
Enumeration Date: Jul 19, 2005
Last Updated: Jan 31, 2021

Practice Location

Address: 201 S PARK DR
City: Broken Bow
State: Oklahoma
ZIP Code: 74728-4737
Phone: (580) 584-6085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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