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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MATTHEW SCOTT PRUITT, PHARMD

Active Sole Proprietor

DR. MATTHEW SCOTT PRUITT, PHARMD is a Pharmacist healthcare provider located in PEORIA, Illinois. NPI 1851673388 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · PEORIA, IL

Registration Details

NPI Number
1851673388
Provider Type
Individual
Gender
Male
NPI Issued
Sep 10, 2011 (14.918612505349 yrs)
Last Updated
Sep 10, 2011
License
051-294490 (IL)
Sole Proprietor
Yes

Practice Information

Address
1919 W PIONEER PKWY
PEORIA, IL, 616151825
Browse IL providers · Browse ZIP 61615
Phone
3096920045
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in PEORIA, IL

Name Credential NPI
MR. EDWARD C. RAINVILLE PHARMMS 1275535056
MISS CARA L PHILLIPS PHARMD 1801881446
MR. BRADLEY GLENN MCBETH 1932117686
MRS. KATHLEEN JANE ADAIR RPH 1710995485
LARRY T ROLLE R.PH. 1497763197
HENRY T LUCHTEFELD RPH 1992713721
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.