Individual
JUSTIS TINSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
(618) 724-2401
Mailing address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
(618) 724-2401
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049254061
IL
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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