Individual
CHARLES R FORTNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1806 S LIMERICK DR, SPOKANE VALLEY, WA 99037-9234
(509) 489-4500
(509) 489-4527
Mailing address
1806 S LIMERICK DR, SPOKANE VALLEY, WA 99037-9234
(509) 489-4500
(509) 489-4527
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH00011107
WA
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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