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Ms. Shannon Jewelanna Pruett, DPH
Pharmacist in Broken Bow, Oklahoma
NPI 1033118286

Shannon Jewelanna Pruett is a Pharmacist based in Broken Bow, OK. Shannon Jewelanna Pruett practices in Broken Bow, OK and has the professional credentials of DPH. The NPI Number for Shannon Jewelanna Pruett is 1033118286 and holds a License No. 12491 (Oklahoma).

The current practice location address for Shannon Jewelanna Pruett is 201 S Park Dr, Broken Bow, OK and can be reached out via phone at 580-584-6085 and via fax at 580-584-6088. You can also correspond with Shannon Jewelanna Pruett through the mailing address at 692 OLD MILITARY ROAD, BROKEN BOW, OK - 74728-9659 (mailing address contact number: 580-584-6089).

Location: 201 S Park Dr, Broken Bow, OK, 74728-9659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033118286
Provider Name
Shannon Jewelanna Pruett
Credential
DPH
Provider Entity Type
Individual
Gender
Female
Address
201 S Park Dr, Broken Bow, OK, 74728-9659
Phone Number
580-584-6085
Fax Number
580-584-6088
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
201 S Park Dr
City
Broken Bow
State
Oklahoma
Zip
74728-4737
Phone Number
580-584-6085
Fax Number
580-584-6088
person
Provider Business Mailing Address Details
Address
692 Old Military Road
City
Broken Bow
State
Oklahoma
Zip
74728-9659
Phone Number
580-584-6089
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
12491 (Oklahoma)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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