Individual
KASEY ANN SWANSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 NE BEND RIVER MALL DR, BEND, OR 97703-7528
(541) 385-6076
(541) 385-9209
Mailing address
60 NE BEND RIVER MALL DR, BEND, OR 97703-7528
(541) 385-6076
(541) 385-9209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015679
OR
183500000X
Pharmacist
39813
MT
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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