Healthcare Provider Details

I. General information

NPI: 1841967346
Provider Name (Legal Business Name): JOHN SARTIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 08/24/2021
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 W WELLESLEY AVE STE A
SPOKANE WA
99205-5091
US

IV. Provider business mailing address

816 W FRANCIS AVE # 464
SPOKANE WA
99205-6512
US

V. Phone/Fax

Practice location:
  • Phone: 509-328-7887
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: