Robert Bakkegard, RPh
Pharmacist in Canyonville, OR. Individual provider (NPI-1).
NPI number1407475577
StatusActive
Last updated in NPPESApr 9, 2020
Details
- NPI
- 1407475577
- Entity type
- Individual (NPI-1)
- Name
- Robert Bakkegard
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2020
- Certification date
- Apr 9, 2020
- Last updated
- Apr 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH-0006386 | OR | Yes |
Practice location
314 S Main StreetCanyonville, OR 97417
Phone 541-839-4452
Mailing address
Po Box 1097Canyonville, OR 97417-1097
Phone 503-871-1297
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