Blanken, Shannon N

Blanken, Shannon N is an sole proprietor health care provider with primary practice located at 60 Division Ave , Eugene OR 97404-5127. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Blanken, Shannon N can be contacted via phone (541) 461-1433.

Contact Information

Primary practice address
60 Division Ave Eugene OR 97404-5127
Phone: (541) 461-1433
Fax: (541) 461-1443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11448 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 11448 Oregon

Profile Details

NPI number 1316224017
LBN Legal business name Blanken, Shannon N
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2011
Last updated Apr 25th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316224017 NPPES
Oregon Other 11448 RPH LICENSE

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