Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pruett's Food, Inc

Organization Pharmacy · NPI 1699205575

Pruett's Food, Inc is a Pharmacy in Ada, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.

Licensed in
OK
In the registry since
2017
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1601 N Broadway Ave
Ada, OK 74820-1403
Phone: (580) 436-0900
Fax: (580) 332-2541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X · Licence 237926 (OK)

Record details

NPI number1699205575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Pruett — Pharmacy Supervisor · (580) 584-6056
Other names Pruett'S Food-Pharmacy#10
NPI enumeratedJune 14, 2017
Last updated in NPPESNovember 28, 2021
Certification dateNovember 28, 2021
Mailing address210 Main St, Broken Bow, OK 74728-3976

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