Individual
BRANDON THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
61535 S HWY 97, BEND, OR 97702-2154
(541) 385-6658
Mailing address
61535 S HWY 97, BEND, OR 97702-2154
(541) 385-6658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH12537
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
12537
OR
Other
Enumeration date
02/21/2012
Last updated
04/24/2017
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