Provider Demographics
NPI:1063786804
Name:CUMMINGS, LITIA V (PHARMD)
Entity type:Individual
Prefix:
First Name:LITIA
Middle Name:V
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 NE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-5175
Mailing Address - Country:US
Mailing Address - Phone:541-389-5610
Mailing Address - Fax:541-389-6173
Practice Address - Street 1:351 NE 2ND ST
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-5175
Practice Address - Country:US
Practice Address - Phone:541-389-5610
Practice Address - Fax:541-389-6173
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0012092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORRPH-0012092OtherSTATE PHARMACIST LICENSE