Healthcare Provider Details

I. General information

NPI: 1770945925
Provider Name (Legal Business Name): STACY HARRINGTON R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2016
Last Update Date: 03/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 S FREYA ST STE 225 TURQUOISE BUILDING
SPOKANE WA
99202-4887
US

IV. Provider business mailing address

228 W HIGH DR
SPOKANE WA
99203-1521
US

V. Phone/Fax

Practice location:
  • Phone: 509-536-1900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH54808
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number37634
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberP5963
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0013360
License Number StateOR
# 5
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA-14936
License Number StateMT
# 6
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2068
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: