| Ms Shannon Jewelanna Pruett, DPH | |
|
201 S Park Dr, Broken Bow, OK 74728-4737 | |
| (580) 584-6085 | |
| (580) 584-6088 |
| Full Name | Ms Shannon Jewelanna Pruett |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 201 S Park Dr, Broken Bow, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033118286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 12491 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shannon Jewelanna Pruett, DPH 692 Old Military Road, Broken Bow, OK 74728-9659 Ph: (580) 584-6089 | Ms Shannon Jewelanna Pruett, DPH 201 S Park Dr, Broken Bow, OK 74728-4737 Ph: (580) 584-6085 |
Dr. Eddie D Allen, DPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 659 S Park Dr, Broken Bow, OK 74728 Phone: 580-584-5841 Fax: 580-584-5845 | |
Kyle Wayne Gray, PHARM. D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 201 S Park Dr, Broken Bow, OK 74728 Phone: 580-584-6085 Fax: 866-307-8113 | |
Amy Korinne Hammonds, DPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 Main St, Broken Bow, OK 74728 Phone: 580-584-3353 Fax: 580-584-9459 |