Individual
AUSTIN SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 N STATE LINE AVE, TEXARKANA, AR 71854-1934
(870) 773-5521
Mailing address
3 LAMBETH CIR, TEXARKANA, TX 75503-2556
(903) 556-7111
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PD15889
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PD15889
PHARMACIST LICENSE
AR
Enumeration date
01/31/2022
Last updated
01/31/2022
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