Pruetts Food Inc is an authorized DME supplier for medicare equipments and products.
Pruetts Food Inc is a Community/Retail Pharmacy in Broken Bow, Oklahoma. It is located at 201 S Park Dr, Broken Bow and it's customer support contact number is 580-584-6085. The authorized person of Pruetts Food Inc is Shannon Jewelanna Pruett who is Pharmacy Director of the pharmacy and his contact number is 580-584-6089. Active license number of Pruetts Food Inc is 25-6949 for Community/Retail Pharmacy in Oklahoma. Pruetts Food Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Pruetts Food Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Pruetts Food Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Pruetts Food Inc
Type:
Community/Retail Pharmacy
Location:
201 S Park Dr, Broken Bow, Oklahoma, 74728-4737
Phone:
580-584-6085
Fax:
580-584-6088
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Shannon Jewelanna Pruett
Position:
Pharmacy Director
Contact Number:
580-584-6089
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1689673832
NPI Enumeration Date:
19 Jul, 2005
NPI Last Update On:
31 Jan, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pruetts Food Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
25-6949
Oklahoma
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200019990A
Medicaid
Oklahoma
2076565
Other
Pk
Medicare Enrollment:
Pruetts Food Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
9739157314
O20040921001091
Pruetts Food Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
210 Main Street, Broken Bow, Oklahoma
Zip:
74728-4737
Phone Number:
580-584-6056
Fax Number:
580-584-6088
Patients can reach Pruetts Food Inc at 201 S Park Dr, Broken Bow, Oklahoma or can call on customer care at 580-584-6085.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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