# PRUITT'S DISCOUNT PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pruitt's Wellness Clinic, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245600618
- **Authorized official:** DR. SHAWN DEGEORGE PRUITT SR. PHARM.D. (OWNER)
- **Authorized official phone:** (615) 562-6337

## Contact information

- **Practice address:** 811 DICKERSON PIKE, C, NASHVILLE, TN 37207-5632
- **Practice address phone:** (615) 562-6337
- **Practice address fax:** (615) 369-8759
- **Mailing address:** 811 DICKERSON PIKE, C, NASHVILLE, TN 37207-5632
- **Mailing address phone:** (615) 562-6337
- **Mailing address fax:** (615) 369-8759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 11293 | TN | — |
| 261QR1100X | Research Clinic/Center | 11293 | TN | — |
| 261QU0200X | Urgent Care Clinic/Center | 11293 | TN | Yes |

## Other

- **Enumeration date:** 09/29/2015
- **Last updated:** 09/29/2015