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PRUETT'S FOOD INC. NPI 1699205575


NPI Information

NPI: 1699205575
Provider Name: PRUETT'S FOOD, INC.

Doing Business As: PRUETT'S FOOD-PHARMACY#10

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1601 N BROADWAY AVE
ADA, OK
ZIP 74820
Phone: (580) 436-0900
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PRUETT'S FOOD, INC. is a community/retail pharmacy pharmacy in Ada, OK. The provider is 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 health care providers, collaborative practice, disease state management, and education classes. PRUETT'S FOOD, INC. NPI is 1699205575. The provider is registered as an organization entity type.
The provider Is Doing Business As Pruett's Food-pharmacy#10.

The provider's business location address is:

1601 N BROADWAY AVE
ADA, OK
ZIP 74820-403
Phone: (580) 436-0900
Fax: (580) 332-2541

The provider's authorized official is Shannon Pruett .
The authorized official title is Pharmacy Supervisor and has the following contact phone number (580) 584-6056.

The enumeration date for this NPI number is 6/14/2017 and was last updated on 11/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy237926OKLAHOMANo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200019990HMEDICAIDOKLAHOMA
22169412OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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