Healthcare Provider Details

I. General information

NPI: 1821683475
Provider Name (Legal Business Name): WENDY MARIE GEFFE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 03/05/2021
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 5TH ST
CLARKSTON WA
99403-1860
US

IV. Provider business mailing address

306 5TH ST
CLARKSTON WA
99403-1860
US

V. Phone/Fax

Practice location:
  • Phone: 509-758-6660
  • Fax:
Mailing address:
  • Phone: 509-758-6660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number38201RP
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60184032
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: