Organization
CHENEY OWL PHARMACY INC
Active
Other names
LIDGERWOOD OWL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GOYKE PHARMD (OWNER/ PRESIDENT)
(509) 235-8441
Entity
Organization
Contact information
Practice address
5901 N LIDGERWOOD ST, STE 100, SPOKANE, WA 99208-1189
(509) 483-3566
(509) 483-3592
Mailing address
220 E ROWAN AVE STE 170, SPOKANE, WA 99207-1203
(509) 483-3566
(509) 483-3592
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.00056660
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110805
PK
—
05
—
6023378
—
WA
Enumeration date
11/01/2006
Last updated
03/11/2024
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