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Organization
PRUITT'S DISCOUNT PHARMACY, LLC
Active
Organization
PRUITT'S DISCOUNT PHARMACY, LLC
Active
Other names
Pruitt's Wellness Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN DEGEORGE PRUITT SR. PHARM.D. (OWNER)
(615) 562-6337
Entity
Organization
Contact information
Practice address
811 DICKERSON PIKE, C, NASHVILLE, TN 37207-5632
(615) 562-6337
(615) 369-8759
Mailing address
811 DICKERSON PIKE, C, NASHVILLE, TN 37207-5632
(615) 562-6337
(615) 369-8759
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
11293
TN
261QR1100X
Research Clinic/Center
11293
TN
261QU0200X
Urgent Care Clinic/Center
Primary
11293
TN
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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