Healthcare Provider Details

I. General information

NPI: 1245490788
Provider Name (Legal Business Name): JOHN H GRIFFITH BPHARM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 02/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 W 5TH AVE STE 700
SPOKANE WA
99204-2967
US

IV. Provider business mailing address

3517 E 65TH AVE
SPOKANE WA
99223-7253
US

V. Phone/Fax

Practice location:
  • Phone: 509-755-6515
  • Fax: 509-755-6539
Mailing address:
  • Phone: 509-755-6515
  • Fax: 509-755-6539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number41764
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: