Shane Justin Sechrest, PharmD
Pharmacist in Fayetteville, AR. Individual provider (NPI-1).
NPI number1699052829
StatusActive
Last updated in NPPESDec 24, 2022
Details
- NPI
- 1699052829
- Entity type
- Individual (NPI-1)
- Name
- Mr. Shane Justin Sechrest
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2011
- Certification date
- Dec 24, 2022
- Last updated
- Dec 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 15225-40 | WI | Yes |
| 183500000X | Pharmacist | PD13877 | AR |
Practice location
4007 N Shiloh DrFayetteville, AR 72703-5300
Phone 479-442-4756
Mailing address
4007 N Shiloh DrFayetteville, AR 72703-5300
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