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Individual

LITIA V. CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
351 NE 2ND ST, BEND, OR 97701-5175
(541) 389-5610
(541) 389-6173
Mailing address
351 NE 2ND ST, BEND, OR 97701-5175
(541) 389-5610
(541) 389-6173

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012092
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH-0012092
STATE PHARMACIST LICENSE
OR
Enumeration date
02/24/2012
Last updated
02/24/2012
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