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Individual

DR. SHAWN D PRUITT SR.

Active
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Individual

DR. SHAWN D PRUITT SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000011293
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11293
TENNESSEE BOARD OF PHARMACY
TN
Enumeration date
11/16/2011
Last updated
12/27/2012
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