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Contact Information

GARY R PRUETT, RPH
705 MAPLE ST
FARMINGTON, MO63640
 Phone: 573-705-1299
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for GARY R PRUETT · (Male)

NPI Number 1659882439
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 10/19/2017
Last updated 10/19/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2001024808
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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