Individual
DIANE MARIE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2501 CITRUS BLVD, LEESBURG, FL 34748-7204
(352) 326-4044
(352) 326-2860
Mailing address
1820 SHORE LINE DR, LEESBURG, FL 34748-8148
(352) 636-5158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS30320
FL
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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