Individual
DR. TAKESHI SHIKUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3411 BROADWAY AVE, NORTH BEND, OR 97459-1201
(541) 756-0118
Mailing address
3667 INLAND CT APT 1, NORTH BEND, OR 97459-1257
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013811
OR
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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