IndividualActive
Shannon Wicklund
NPI 1770613184 · Pharmacy Technician · Heppner, OR
Provider details
- NPI number
- 1770613184
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- T-0008894 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
217 N. Main Str
Heppner, OR 97836-0427
Phone: (541) 676-9158
Fax: (541) 676-5015
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 296
Heppner, OR 97836-0296
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.