Individual
MR. ERIC TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 E WELLESLEY AVE, SPOKANE, WA 99207-4271
(509) 483-0342
Mailing address
2105 E WELLESLEY AVE, SPOKANE, WA 99207-4271
(509) 483-0342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57701
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57701
WASHINGTON STATE PHARMACIST LISENCE
WA
Enumeration date
09/22/2011
Last updated
09/22/2011
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