Healthcare Provider Details

I. General information

NPI: 1891108155
Provider Name (Legal Business Name): JOSEPH LOEHMER PHARMACIST LICENSE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2014
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12120 N DIVISION ST
SPOKANE WA
99218-1905
US

IV. Provider business mailing address

12120 N DIVISION ST
SPOKANE WA
99218-1905
US

V. Phone/Fax

Practice location:
  • Phone: 509-465-4433
  • Fax: 509-465-4427
Mailing address:
  • Phone: 509-465-4433
  • Fax: 509-465-4427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60452181
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: