Alexandra Jane Pruitt

NPI #1972477578 in Crystal Springs, Mississippi

Provider Information

NPI Number: 1972477578
Entity Type: Individual
Name: Alexandra Jane Pruitt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 6, 2025
Last Updated: Oct 6, 2025

Practice Location

Address: 113 BO BO DR
City: Crystal Springs
State: Mississippi
ZIP Code: 39059-2741
Phone: (601) 892-4121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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