Peck, Tanisha

Peck, Tanisha is an individual health care provider with primary practice located at 1700 E 19Th St , The Dalles OR 97058-3317. She recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Oncology, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Peck, Tanisha can be contacted via phone (541) 269-1111.

Contact Information

Primary practice address
1700 E 19Th St The Dalles OR 97058-3317
Phone: (541) 269-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5294005-8911 Utah
Pharmacy Service Providers / Oncology 1835X0200X RPH-0013207 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0013207 Oregon

Profile Details

NPI number 1396121265
LBN Legal business name Peck, Tanisha
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2015
Last updated Dec 4th, 2019 - about 5 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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