Pruett, Stephanie

Pruett, Stephanie is an individual health care provider with primary practice located at 1 W Edwardsville Rd , Wood River IL 62095-1261. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Pruett, Stephanie can be contacted via phone (618) 254-3610.

Contact Information

Primary practice address
1 W Edwardsville Rd Wood River IL 62095-1261
Phone: (618) 254-3610
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2015028995 Missouri
Pharmacy Service Providers / Pharmacist 183500000X 051298917 Illinois

Profile Details

NPI number 1861089211
LBN Legal business name Pruett, Stephanie
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2020
Last updated Dec 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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