Organization
PRUETT'S CUT-RATE PHARMACY, LLC
Active
Other names
Pruett's Cut Rate Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN RITTER DPH (OWNER/MANAGER)
(580) 889-0230
Entity
Organization
Contact information
Practice address
906 E MAIN ST, ANTLERS, OK 74523-2808
(580) 298-5064
(580) 298-6144
Mailing address
744 S MISSISSIPPI AVE, ATOKA, OK 74525-3355
(580) 298-5064
(580) 298-6144
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
59-2947
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235490A
—
OK
05
—
100235490B
—
OK
Enumeration date
09/07/2005
Last updated
08/28/2024
Update your record
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