Individual
MR. SHANE JUSTIN SECHREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4007 N SHILOH DR, FAYETTEVILLE, AR 72703-5300
(479) 442-4756
Mailing address
4007 N SHILOH DR, FAYETTEVILLE, AR 72703-5300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15225-40
WI
183500000X
Pharmacist
PD13877
AR
Other
Enumeration date
11/16/2011
Last updated
12/24/2022
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