Healthcare Provider Details

I. General information

NPI: 1346593662
Provider Name (Legal Business Name): RICHARD M FIKE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2012
Last Update Date: 10/20/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 W 2ND AVE
SPOKANE WA
99201-4503
US

IV. Provider business mailing address

611 N IRON BRIDGE WAY
SPOKANE WA
99202-4932
US

V. Phone/Fax

Practice location:
  • Phone: 509-343-1116
  • Fax: 509-434-0283
Mailing address:
  • Phone: 509-444-8888
  • Fax: 509-444-7806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00010109
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: