Healthcare Provider Details

I. General information

NPI: 1477479707
Provider Name (Legal Business Name): THERESE REGINA LINDQUIST PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4235 E 37TH AVE
SPOKANE WA
99223-4244
US

IV. Provider business mailing address

4235 E 37TH AVE
SPOKANE WA
99223-4244
US

V. Phone/Fax

Practice location:
  • Phone: 425-301-9584
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0057453
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: