Individual
TEDD MARCEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20120 PINEBROOK BLVD, BEND, OR 97702-2537
(541) 389-5440
(541) 389-5382
Mailing address
20120 PINEBROOK BLVD, BEND, OR 97702-2537
(541) 389-5440
(541) 389-5382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7162
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
7162
OR
Other
Enumeration date
07/12/2014
Last updated
01/29/2016
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