Organization
PRUETTS FOOD INC
Active
Other names
Pruetts Food-Pharmacy #5
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON PRUETT (PHARMACY SUPERVISOR)
(580) 584-6056
Entity
Organization
Contact information
Practice address
410 W.L. DOC DODSON WEST, NAPLES, TX 75568
(903) 897-1114
(903) 897-0064
Mailing address
201 S PARK DR, BROKEN BOW, OK 74728-4737
(580) 584-6056
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
08/23/2016
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