-- SHANNON WICKLUND --
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1770613184- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 217 N. MAIN STR, HEPPNER, OR, 978360427
- Phone
- (541) 676-9158
- Fax
- (541) 676-5015
Specialties & Taxonomies
Pharmacy Technician
Primary License: OR #T-0008894