Individual
MS. SHANNON JEWELANNA PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
201 S PARK DR, BROKEN BOW, OK 74728-4737
(580) 584-6085
(580) 584-6088
Mailing address
692 OLD MILITARY ROAD, BROKEN BOW, OK 74728-9659
(580) 584-6089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12491
OK
Other
Enumeration date
07/19/2005
Last updated
01/31/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us