Individual provider · Type 1 NPI
Shannon Jewelanna Pruett, D.PH.
Pharmacist · Broken Bow, OK
Practice location
201 S Park Dr
Broken Bow, OK 74728-4737
Fax (580) 584-6088
Mailing address
692 Old Military Road
Broken Bow, OK 74728-9659
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 12491 (OK) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
2 other providers at this address
Other pharmacist providers in Broken Bow
- Eddie D. Allen, DPHPharmacist Broken Bow, OK NPI 1073675732
- Lindsey O'Rear, PharmDPharmacist Broken Bow, OK NPI 1417359233
- Kyle Wayne Gray, PHARM. DPharmacist Broken Bow, OK NPI 1427523729
- Mitchell Ally WallisPharmacist Broken Bow, OK NPI 1528925104
- Amy Korinne Hammonds, DPHPharmacist Broken Bow, OK NPI 1790256360
About NPI 1033118286
Shannon Jewelanna Pruett, D.PH.'s National Provider Identifier is 1033118286, issued on Jul 19, 2005. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Broken Bow, OK. The record was last updated on Jan 31, 2021.