Thayne Edward Vickstrom is a pharmacist in Corvallis, Oregon. Patients can reach him at 1555 Sw 53rd St, Corvallis or contact him on 541-758-3392. Active license number of Thayne Edward Vickstrom is 9544 for Pharmacist in Oregon. Thayne Edward Vickstrom is 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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Thayne Edward Vickstrom speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Thayne Edward Vickstrom
Specialization:
Pharmacist
Gender:
Male
Location:
1555 Sw 53rd St, Corvallis, Oregon, 97333-2630
Phone:
541-758-3392
Fax:
541-758-4159
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Thayne Edward Vickstrom are as mentioned below.
NPI Number:
1265705768
NPI Enumeration Date:
14 Feb, 2012
NPI Last Update On:
14 Feb, 2012
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thayne Edward Vickstrom are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
9544
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Thayne Edward Vickstrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9544
Other
Oregon
State Pharmacist License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1555 Sw 53rd St, Corvallis, Oregon
Zip:
97333-2630
Phone Number:
541-758-3392
Fax Number:
541-758-4159
Patients can reach Thayne Edward Vickstrom at 1555 Sw 53rd St, Corvallis, Oregon or can call on phone at 541-758-3392.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.