Pruett'S Food-Pharmacy#8

LBN: Pruett'S Food, Inc.
Pruett'S Food-Pharmacy#8 is an health care organization with primary practice located at 1231 N Washington Ave , Durant OK 74701-2119. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Pruett'S Food, Inc. can be contacted via phone (580) 924-2903, or through Pruett, Shannon via phone (580) 236-2056.

Contact Information

Primary practice address
1231 N Washington Ave Durant OK 74701-2119
Phone: (580) 924-2903
Fax: (580) 924-7337
Website:
Map and Directions
Authorized official contact:
Name: Pruett, Shannon
Phone: (580) 236-2056

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 277924 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1881124766
LBN Legal business name Pruett'S Food, Inc.
DBA Doing business as Pruett'S Food-Pharmacy#8
Authorized official Pruett, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2017
Last updated Jun 28th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881124766 NPPES
Oklahoma MEDICAID 200019990G
Oklahoma Other 2169410

Popular Providers