IndividualActive
Alexandra Pruitt
NPI 1972477578 · Pharmacist · Crystal Springs, MS
Provider details
- NPI number
- 1972477578
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- E-102158 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
113 Bo Bo Dr
Crystal Springs, MS 39059-2741
Phone: (601) 892-4121
Approximate (ZIP-level) locationGet directions
Mailing address
201 Wexford Ct
Brandon, MS 39047-8079
Registry dates
- Enumerated
- 2025-10-06
- Last updated
- 2025-10-06
- Certified
- 2025-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.