Healthcare Provider Details

I. General information

NPI: 1831632926
Provider Name (Legal Business Name): KERI LAWLESS DOBBIN RPH, PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KERI DEE LAWLESS DOBBIN RPH, PHARMD

II. Dates (important events)

Enumeration Date: 11/22/2016
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E 5TH AVE
SPOKANE WA
99202-1334
US

IV. Provider business mailing address

400 E 5TH AVE
SPOKANE WA
99202-1334
US

V. Phone/Fax

Practice location:
  • Phone: 509-342-3276
  • Fax:
Mailing address:
  • Phone: 509-342-3276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH 00017030
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH 00017030
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: