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NPI Code Detail

MEDICARE: THERESE LOUISE LINDQUIST PHARMD

MEDICARE:   THERESE LOUISE LINDQUIST  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH00039370WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487940409
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESE LOUISE LINDQUIST PHARMD
Provider Business Mailing Address
First Line : 611 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4932
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 1720 2ND ST
Second Line :
City : CHENEY
State : WA
Zip : 99004-1910
Country : US
Telephone Number : 509-111-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2011
Last Update Date : 02/18/2022

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Directions to “ THERESE LOUISE LINDQUIST PHARMD” Practice Location

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