Healthcare Provider Details

I. General information

NPI: 1922988807
Provider Name (Legal Business Name): ANISHA KAUR DHILLON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W 8TH AVE STE 350E
SPOKANE WA
99204-2302
US

IV. Provider business mailing address

105 W 8TH AVE
SPOKANE WA
99204-2302
US

V. Phone/Fax

Practice location:
  • Phone: 509-474-2232
  • Fax:
Mailing address:
  • Phone: 509-474-2232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPHRM.PH.70012504
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: