Individual
AMY M PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
27155 W EAMES ST, CHANNAHON, IL 60410-5377
(815) 521-0326
Mailing address
26712 W ALLISON DR, CHANNAHON, IL 60410-5520
(815) 919-2791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.287191
IL
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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