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Matthew Pruitt, PHARMD
NPI 1851673388 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1919 W Pioneer Pkwy
Peoria, IL 61615 - Phone
- (309) 692-0045
- Organisation at this address
- Walgreen Co
Walgreen Co.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois