MEDICARE: DR. DANICA B KILLINEN RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	61565080	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61565080	OTHER	WA	PHARMACY LICENSE

General Provider Information

NPI Number	:	1447087010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANICA B KILLINEN RPH

Provider Business Mailing Address
First Line	:	8523 W PIRATES CT
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-7075
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1802 N MONROE ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-4528
Country	:	US
Telephone Number	:	509-343-6252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2024
Last Update Date	:	09/20/2024

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