Organization · Type 2 NPI

Pruetts Food Inc

Community/Retail Pharmacy · De Queen, AR

NPI number 1659648285 Active

Practice location

500 E Collin Raye Dr
De Queen, AR 71832-8048

Call (870) 642-5680 Map

Fax (870) 642-5683

Mailing address

210 Main Street
Broken Bow, OK 74728-4737

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	AR14401 (AR)

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 …

9 other providers at this address

Other community/retail pharmacy providers in De Queen

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NPI record

NPI: 1659648285
Entity type: Organization (Type 2)
Issued: Nov 28, 2011
Last updated: Jan 31, 2021
Status: Active

Other names

<unavail>
Pruetts Food-Pharmacy#3 · doing business as
Pruetts Food-Pharmacy#3 · doing business as

Authorized official

Shannon Jewelanna Pruett
Pharmacy Director
(580) 584-6089

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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 1659648285

Pruetts Food Inc's National Provider Identifier is 1659648285, issued on Nov 28, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in De Queen, AR. The record was last updated on Jan 31, 2021.