Individual
COURTNEY CHANTAL PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4209 N MAYO TRL, PIKEVILLE, KY 41501-3210
(606) 432-0331
Mailing address
474 PONDEROSA DR, PAINTSVILLE, KY 41240-8558
(606) 792-0824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022813
KY
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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