Healthcare Provider Details

I. General information

NPI: 1629748660
Provider Name (Legal Business Name): FENGLIN ZHENG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2021
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14408 E SPRAGUE AVE
SPOKANE VALLEY WA
99216-2167
US

IV. Provider business mailing address

14408 E SPRAGUE AVE
SPOKANE VALLEY WA
99216-2167
US

V. Phone/Fax

Practice location:
  • Phone: 509-530-5838
  • Fax: 509-755-5715
Mailing address:
  • Phone: 509-755-5500
  • Fax: 509-744-1741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH60665794
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60665794
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH60665794
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: