Individual
JACOB D CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
120 N PINE ST, SUITE 156, SPOKANE, WA 99202-5029
(509) 343-3400
Mailing address
3510 S LORETTA DR, SPOKANE VALLEY, WA 99206-5974
(509) 496-6093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 60167773
WA
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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