Healthcare Provider Details

I. General information

NPI: 1699220137
Provider Name (Legal Business Name): VALERIE LYNN WIRE PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE LYNN NAUDITT PHARM.D.

II. Dates (important events)

Enumeration Date: 08/24/2016
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 E MISSION AVE
SPOKANE WA
99202-3627
US

IV. Provider business mailing address

731 N IRON BRIDGE WAY
SPOKANE WA
99202-4926
US

V. Phone/Fax

Practice location:
  • Phone: 509-444-8200
  • Fax: 509-434-0392
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 NumberPH60661798
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: