Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHANNON JEWELANNA PRUETT, D.PH.
Active Sole ProprietorPharmacist · BROKEN BOW, OK
Registration Details
- NPI Number
- 1033118286
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2005 (20.757842835109 yrs)
- Last Updated
- Jan 31, 2021
- License
-
12491 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 S PARK DRBROKEN BOW, OK, 747284737Browse OK providers · Browse ZIP 74728
- Phone
- 5805846085
- Fax
- 5805846088
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in BROKEN BOW, OK
| Name | Credential | NPI |
|---|---|---|
| DR. EDDIE D ALLEN | DPH | 1073675732 |
| LINDSEY O'REAR | PHARMD | 1417359233 |
| KYLE WAYNE GRAY | PHARM. D | 1427523729 |
| AMY KORINNE HAMMONDS | DPH | 1790256360 |
| MITCHELL ALLY WALLIS | — | 1528925104 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.