Healthcare Provider Details

I. General information

NPI: 1275457210
Provider Name (Legal Business Name): GINNA SAMANTHA MENDEZ EYNON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 E SPRAGUE AVE
SPOKANE VALLEY WA
99212-0826
US

IV. Provider business mailing address

5601 E SPRAGUE AVE
SPOKANE VALLEY WA
99212-0826
US

V. Phone/Fax

Practice location:
  • Phone: 509-842-0002
  • Fax: 509-842-0009
Mailing address:
  • Phone: 509-842-0002
  • Fax: 509-842-0009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHRM.PH.70136554
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: