Individual
DR. SHAQUITA UNIECE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1728 HIGHWAY 45 N, COLUMBUS, MS 39705-2118
(662) 328-0747
Mailing address
62 DIANE CT, COLUMBUS, MS 39702-8386
(662) 352-4572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010187
MS
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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