Healthcare Provider Details

I. General information

NPI: 1013853985
Provider Name (Legal Business Name): XOCHITL CHAVEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E SPOKANE FALLS BLVD
SPOKANE WA
99202
US

IV. Provider business mailing address

PO BOX 583
GRANGER WA
98932-0583
US

V. Phone/Fax

Practice location:
  • Phone: 509-368-6700
  • Fax:
Mailing address:
  • Phone: 509-439-4011
  • Fax: 509-439-4011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberWDL77345443B
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: