Provider Demographics
NPI:1275283269
Name:SPIVEY, ADUSTON (RPH)
Entity Type:Individual
Prefix:DR
First Name:ADUSTON
Middle Name:
Last Name:SPIVEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:HOT
Mailing Address - State:AR
Mailing Address - Zip Code:71913
Mailing Address - Country:US
Mailing Address - Phone:501-760-2444
Mailing Address - Fax:501-760-2449
Practice Address - Street 1:1210 AIRPORT RD, HOT SPRINGS PHARMACY
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913
Practice Address - Country:US
Practice Address - Phone:501-760-2444
Practice Address - Fax:501-760-2449
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD07698183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist