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Individual

TARA LYNN OKEEFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
210 SW CENTURY DR, BEND, OR 97702-1958
(541) 389-9117
Mailing address
19637 SUNSHINE WAY, BEND, OR 97702-1981
(541) 241-0021

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6582
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6582
STATE PHARMACISTS LICENSE
OR
Enumeration date
05/04/2012
Last updated
05/04/2012
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