Healthcare Provider Details

I. General information

NPI: 1265112403
Provider Name (Legal Business Name): NATHAN COLE RAMSBACHER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 N MCDONALD RD STE 101
SPOKANE VALLEY WA
99216-1557
US

IV. Provider business mailing address

8808 N INDIAN TRAIL RD APT 1301
SPOKANE WA
99208-9184
US

V. Phone/Fax

Practice location:
  • Phone: 509-598-7841
  • Fax:
Mailing address:
  • Phone: 406-945-0591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH61422697
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: