Individual
BRENDA VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2650 NE HIGHWAY 20, BEND, OR 97701-6976
(541) 383-6500
Mailing address
60825 GRAND TARGHEE DR, BEND, OR 97702-8115
(503) 443-9464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0019906
OR
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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