Individual provider · Type 1 NPI
Thayne Edward Vickstrom
Pharmacist · Corvallis, OR
Practice location
1555 SW 53rd St
Corvallis, OR 97333-2630
Fax (541) 758-4159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 9544 (OR) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
4 other providers at this address
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About NPI 1265705768
Thayne Edward Vickstrom's National Provider Identifier is 1265705768, issued on Feb 14, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Corvallis, OR. The record was last updated on Feb 14, 2012.