Provider Demographics
NPI:1134720741
Name:SELLERS, CRISTINA (PHARMD)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:SELLERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 E HIGHLAND DR STE D
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-6114
Mailing Address - Country:US
Mailing Address - Phone:870-641-4354
Mailing Address - Fax:870-641-4355
Practice Address - Street 1:1810 E HIGHLAND DR STE D
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6114
Practice Address - Country:US
Practice Address - Phone:870-641-4354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD14642333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy