Shannon Wicklund

NPI #1770613184 in Heppner, Oregon

Provider Information

NPI Number
1770613184
Entity Type
Individual
Name
Shannon Wicklund
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy Technician
Enumeration Date
Mar 6, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
217 N. MAIN STR
State
Oregon
ZIP Code
97836-0427
Phone
(541) 676-9158

Specialties & Taxonomy Codes

Specialty
Pharmacy Technician

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