Individual
MRS. HELEN PRUITT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
4881 SUGAR MAPLE DR, 88MDG/SGQP, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 904-3648
Mailing address
1924 S TECUMSEH RD, SPRINGFIELD, OH 45502-9116
(937) 323-2355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9090
KY
Other
Enumeration date
10/19/2005
Last updated
07/08/2007
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