Organization · Type 2 NPI

Pruett's Food, Inc.

Community/Retail Pharmacy · The Village, OK

NPI number 1629669874 Active

Practice location

9515 N May Ave
The Village, OK 73120

Call (405) 286-9080 Map

Fax (405) 286-9832

Mailing address

210 Main Street
Broken Bow, OK 74728

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 …

2 other providers at this address

Other community/retail pharmacy providers in The Village

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NPI record

NPI: 1629669874
Entity type: Organization (Type 2)
Issued: Jan 31, 2021
Last updated: Apr 12, 2021
Status: Active
Subpart: Yes of Pruett's Food, Inc.

Other names

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Uptown Pharmacy (pruett's Okc) · doing business as
Uptown Pharmacy (pruett's Okc) · doing business as

Authorized official

Shannon Jewelanna Pruett
Pharmacy Director
(580) 236-2056

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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 1629669874

Pruett's Food, Inc.'s National Provider Identifier is 1629669874, issued on Jan 31, 2021. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in The Village, OK. The record was last updated on Apr 12, 2021.