Jestin Thomas

NPI #1043814981 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1043814981
Entity Type: Individual
Name: Jestin Thomas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 22, 2020
Last Updated: Nov 22, 2020

Practice Location

Address: 5501 S OLIVE ST
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-7607
Phone: (870) 879-1420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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