Individual
SHELLEY TUSTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2608 SE J STREET SUITE 8, MAIL SLOT 0230, BENTONVILLE, AR 72716-0001
(479) 360-3432
Mailing address
1401 SW HAMILTON AVE, BENTONVILLE, AR 72713-5005
(870) 919-1873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10815
AR
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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