Pruett's Food, Inc.
NPI #1629669874 in The Village, Oklahoma
Provider Information
- NPI Number
- 1629669874
- Entity Type
- Organization
- Organization Name
- Pruett's Food, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRUETT'S FOOD, INC.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 31, 2021
- Last Updated
- Apr 12, 2021
Practice Location
- Address
- 9515 N MAY AVE
- City
- The Village
- State
- Oklahoma
- ZIP Code
- 73120
- Phone
- (405) 286-9080
Authorized Official
- Name
- SHANNON JEWELANNA PRUETT
- Title
- PHARMACY DIRECTOR
- Phone
- (580) 236-2056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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