Stephanie Pruett, PHARMD

NPI #1861089211 in Wood River, Illinois

Provider Information

NPI Number: 1861089211
Entity Type: Individual
Name: Stephanie Pruett, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Dec 30, 2020
Last Updated: Dec 30, 2020

Practice Location

Address: 1 W EDWARDSVILLE RD
City: Wood River
State: Illinois
ZIP Code: 62095-1261
Phone: (618) 254-3610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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