Individual
ALEXANDRA JANE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 BO BO DR, CRYSTAL SPRINGS, MS 39059-2741
(601) 892-4121
Mailing address
201 WEXFORD CT, BRANDON, MS 39047-8079
(601) 813-5995
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-102158
MS
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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