Individual
CASSANDRA STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32633 EAGLE WOOD DR, COTTAGE GROVE, OR 97424-9507
(406) 544-9931
Mailing address
32633 EAGLE WOOD DR, COTTAGE GROVE, OR 97424-9507
(541) 359-3334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012411
OR
Other
Enumeration date
11/05/2011
Last updated
05/23/2022
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