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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEITH PERSICKE, PHAM.D.

Active Sole Proprietor

MR. KEITH PERSICKE, PHAM.D. is a Pharmacist healthcare provider located in SPOKANE VALLEY, Washington. NPI 1952632572 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SPOKANE VALLEY, WA

Registration Details

NPI Number
1952632572
Provider Type
Individual
Gender
Male
NPI Issued
Jan 21, 2010 (16.381135172748 yrs)
Last Updated
Jan 21, 2010
Licenses
PH00049819 (WA)
MT4525 (MT)
Sole Proprietor
Yes

Practice Information

Address
15510 E SPRAGUE AVE
SPOKANE VALLEY, WA, 990378945
Browse WA providers · Browse ZIP 99037
Phone
5098910735
Fax
5098914082
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in SPOKANE VALLEY, WA

Name Credential NPI
DR. JARED TWIGGS PHARMD 1538156203
MRS. JILL ANN HARVEY PHARM.D. 1184614893
RONALD L GILL RPH 1689690547
DR. LYNNETTE MARIE EVENSON PHARM.D. 1689695165
KENNETH EUGENE GUDGEL R.PH. 1003914128
LISA VENNER 1407937774
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.