Healthcare Provider Details

I. General information

NPI: 1538081450
Provider Name (Legal Business Name): ERENDIRA CASTILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 E 29TH AVE
SPOKANE WA
99223-4811
US

IV. Provider business mailing address

1521 N ARGONNE RD # C-217
SPOKANE VALLEY WA
99212-2545
US

V. Phone/Fax

Practice location:
  • Phone: 509-535-9056
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberPTEC.VA.70025485
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: