Individual
TRACY ANN SHINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
351 NE 2ND ST, BEND, OR 97701-5175
(541) 389-5610
(541) 389-6173
Mailing address
351 NE 2ND ST, BEND, OR 97701-5175
(541) 389-5610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7444
OR
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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