Organization
PRUETT'S FOOD, INC.
Active
Parent organization
PRUETT'S FOOD, INC.
Other names
Pruett's Discount Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRUETT'S FOOD, INC.
Authorized official
SHANNON PRUETT (PHARMACY DIRECTOR)
(870) 289-2085
Entity
Organization
Contact information
Practice address
101 W. MAIN, LOCKESBURG, AR 71846
(870) 289-2085
(870) 289-2088
Mailing address
210 MAIN ST, BROKEN BOW, OK 74728-3976
(870) 289-2085
(580) 584-6088
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238810407
—
AR
Enumeration date
11/08/2019
Last updated
02/13/2025
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