Jenna Pruitt

NPI #1033503735 in Vansant, Virginia

Provider Information

NPI Number: 1033503735
Entity Type: Individual
Name: Jenna Pruitt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 20, 2015
Last Updated: Mar 20, 2015

Practice Location

Address: 18765 RIVERSIDE DRIVE
City: Vansant
State: Virginia
ZIP Code: 24656
Phone: (276) 935-7455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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