Individual
DR. JAIME LYNN FAZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5901 N LIDGERWOOD ST STE 223, SPOKANE, WA 99208-1122
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03444635
OH
183500000X
Pharmacist
PH60780614
WA
1835P1300X
Psychiatric Pharmacist
03444635
OH
1835P2201X
Ambulatory Care Pharmacist
PH60780614
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60780614
WASHINGTON STATE PHARMACY QUALITY ASSURANCE COMMISSION
WA
Enumeration date
03/07/2018
Last updated
12/18/2025
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