Individual
DR. DUSTIN EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2609 MCCAIN BLVD, N LITTLE ROCK, AR 72116-8013
(501) 353-1984
(501) 353-2698
Mailing address
6044 ALLWOOD DR, N LITTLE ROCK, AR 72116-3706
(501) 765-1776
(501) 945-6976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12618
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PD12618
ARKANSAS PHARMACISTS LICENSE
AR
Enumeration date
06/06/2014
Last updated
06/06/2014
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