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

MS. Shannon Jewelanna Pruett, DPH

Individual provider Pharmacist · NPI 1033118286

MS. Shannon Jewelanna Pruett, DPH is a Pharmacist in Broken Bow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2005

Practice location Address checks out

201 S Park Dr
Broken Bow, OK 74728-4737
Phone: (580) 584-6085
Fax: (580) 584-6088
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 12491 (OK)

Record details

NPI number1033118286
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPH
Sole proprietorYes
NPI enumeratedJuly 19, 2005
Last updated in NPPESJanuary 31, 2021
Certification dateJanuary 31, 2021

Other providers in Broken Bow