Organization · Type 2 NPI

Pruetts Food Inc

Community/Retail Pharmacy · Broken Bow, OK

NPI number 1689673832 Active

Practice location

201 S Park Dr
Broken Bow, OK 74728-4737

Call (580) 584-6085 Map

Fax (580) 584-6088

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	25-6949 (OK)

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 Broken Bow

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NPI record

NPI: 1689673832
Entity type: Organization (Type 2)
Issued: Jul 19, 2005
Last updated: Jan 31, 2021
Status: Active

Other names

<unavail>
Pruett Foods Pharmacy · doing business as
Pruett Foods Pharmacy · 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 1689673832

Pruetts Food Inc's National Provider Identifier is 1689673832, issued on Jul 19, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Broken Bow, OK. The record was last updated on Jan 31, 2021.