Individual
NICHOLE DAWN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 SOUTH MAIN STREET, STUART, VA 24171
(276) 694-4034
(276) 694-8355
Mailing address
140 SOUTH MAIN STREET, STUART, VA 24171
(276) 694-4034
(276) 694-8355
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230021194
VA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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