Provider Demographics
NPI:1003171471
Name:GROFFMAN, BARBARA J (RPH)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:GROFFMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9770 N NEWPORT HWY
Mailing Address - Street 2:TARGET PHARMACY T0636
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1249
Mailing Address - Country:US
Mailing Address - Phone:509-466-7226
Mailing Address - Fax:509-795-3177
Practice Address - Street 1:9770 N NEWPORT HWY
Practice Address - Street 2:TARGET PHARMACY T0636
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1249
Practice Address - Country:US
Practice Address - Phone:509-466-7226
Practice Address - Fax:509-795-3177
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 00018437183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist