NPI 1164934089

Justis Tinsley

Practitioner Pharmacy Technician Christopher, IL

Practice location

Address: 4241 Highway 14 W, Christopher, IL 62822-1037
Phone: (618) 724-2401

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 049254061 (IL)

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Registry record

NPI: 1164934089
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2017
Record last updated: 1 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.