Individual
JINY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12315 HIGHWAY 395, SPOKANE, WA 99218-1951
(509) 466-7461
(509) 466-7954
Mailing address
12315 HIGHWAY 395, SPOKANE, WA 99218-1951
(509) 466-7461
(509) 466-7954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
183500000X
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183500000X
PHARMACY SERVICE PROVIDER
—
Enumeration date
05/26/2010
Last updated
05/26/2010
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