Shannon Wicklund in Heppner - Pharmacy Technician
Shannon Wicklund - NPI 1770613184
Shannon Wicklund is a Pharmacy Technician in Heppner, Oregon. Shannon Wicklund practices all healthcare services and medical treatments related to Pharmacy Technician. The NPI Number for Shannon Wicklund is 1770613184. The last update date is 2007-07-08.
Shannon Wicklund's current location address is 217 N. Main Str, Heppner, Oregon. You can contact this provider via phone number 5416769158 and fax number 5416765015. The mailing address for Shannon Wicklund is 217 N. Main Str, Heppner, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Wicklund |
|---|---|
| Address | 217 N. Main Str, Heppner, Oregon |
| Phone Number | 5416769158 |
| Fax Number | 5416765015 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770613184 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 217 N. Main Str |
|---|---|
| City | Heppner |
| State | Oregon (OR) |
| Post Code | 978360427 |
| Phone Number | 5416769158 |
| Fax Number | 5416765015 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy Technician |
|---|---|
| Taxonomy | 183700000X |
| Licence No | T-0008894 |
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Definition: A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
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What is the unique identifier code issued to Shannon Wicklund by the Centers for Medicare & Medicaid Services?
The Shannon Wicklund has been assigned the NPI (National Provider Identifier) 1770613184. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shannon Wicklund?
The Shannon Wicklund is physically situated at 217 N. Main Str, in the city of Heppner, state of OR, with the postal code 978360427.
What is Shannon Wicklund's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon Wicklund's specialized field of practice is Pharmacy Technician, and the corresponding taxonomy code that categorizes this area of specialization is 183700000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770613184 to Shannon Wicklund?
The Shannon Wicklund received its 1770613184 assignment from the Centers for Medicare & Medicaid Services on 2007-03-06.
As of what date were the Shannon Wicklund's details last updated?
The information pertaining to the Shannon Wicklund, including its address, specialty, and other details, was most recently updated on 2007-07-08.