Individual
KYLE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
15812 E INDIANA AVE, SPOKANE VALLEY, WA 99216-1875
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60655671
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60655671
PHARMACIST LICENSE NUMBER
WA
Enumeration date
07/07/2017
Last updated
02/09/2021
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