Individual
WENDI LISZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3411 BROADWAY AVE, NORTH BEND, OR 97459-1201
(541) 756-0118
Mailing address
1597 N HEMLOCK ST, COQUILLE, OR 97423-1028
(406) 640-0040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016537
OR
Other
Enumeration date
03/24/2018
Last updated
03/24/2018
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