Individual
VICTORIA STAVISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Mailing address
20299 POE SHOLES DR, BEND, OR 97703-7932
(406) 207-9815
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016673
OR
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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