Organization · Type 2 NPI

Pruett's Food, Inc.

Community/Retail Pharmacy · Lockesburg, AR

NPI number 1104461532 Active

Practice location

101 W. Main
Lockesburg, AR 71846

Call (870) 289-2085 Map

Fax (870) 289-2088

Mailing address

210 Main St
Broken Bow, OK 74728-3976

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

NPI record

NPI: 1104461532
Entity type: Organization (Type 2)
Issued: Nov 8, 2019
Last updated: Feb 13, 2025
Status: Active
Subpart: Yes of Pruett's Food, Inc.

Other names

<unavail>
Pruett's Discount Pharmacy · doing business as
Pruett's Discount Pharmacy · doing business as

Authorized official

Shannon Pruett
Pharmacy Director
(870) 289-2085

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104461532

Pruett's Food, Inc.'s National Provider Identifier is 1104461532, issued on Nov 8, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lockesburg, AR. The record was last updated on Feb 13, 2025.