Organization
PRUITT'S DISCOUNT PHARMACY, LLC
Active
Other names
Pruitt's Wellness Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN DEGEORGE PRUITT SR. PHARM.D. (OWNER)
(615) 562-6337
Entity
Organization
Contact information
Practice address
811 DICKERSON PIKE, C, NASHVILLE, TN 37207-5632
(615) 562-6337
(615) 369-8759
Mailing address
811 DICKERSON PIKE, C, NASHVILLE, TN 37207-5632
(615) 562-6337
(615) 369-8759
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
11293
TN
261QR1100X
Research Clinic/Center
11293
TN
261QU0200X
Urgent Care Clinic/Center
Primary
11293
TN
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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