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General NPI Number Information
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NPI Number | 1811477466
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Entity Type | Individual
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Provider Name | STEVEN MICHAEL WASIL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 15727 E BROADWAY AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99037-9544
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Country | US
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Telephone | 479-866-7601
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Fax |
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Provider Business Mailing Address
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Address Line | 18007 E DAYSTAR RD
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City | SPOKANE VALLEY
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State | WA
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Zip | 99016-5178
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Country | US
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Telephone | 330-360-9060
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P7158
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License Number State | ID
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